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Iowa rates for HCPCS A7504

Filter for use in a tracheostoma heat and moisture exchange system, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.61 / $0.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $1.05 / $1.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.59 / $1.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $1.23 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.49 / $1.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.14 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.48 / $1.19
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.90 / $0.90