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Illinois 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
$0.54 / $0.54 / $0.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.54 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $2.69 / $8.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $1.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.62 / $2.18
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.33 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.48 / $1.00