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Indiana 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
$0.82 / $0.82 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.59 / $0.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $76.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.62 / $0.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.05 / $1.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.05 / $1.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.46 / $0.67