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Kentucky 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
$0.31 / $0.49 / $0.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.56 / $0.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.62 / $0.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $1.33 / $1.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.19 / $1.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.60 / $4.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.64 / $1.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.44 / $0.60