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Maryland rates for HCPCS A7504

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.61 / $0.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.65
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 / $0.49 / $0.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.95 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.48 / $0.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.67