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Massachusetts rates for HCPCS A7504

Filter For Use In A Tracheostoma Heat And Moisture Exchange System Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.41 / $0.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $2.71 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.66 / $0.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.64 / $1.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.61 / $0.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $1.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $1.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.49 / $0.95