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Maine 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
Professional
Modifier
Low / Median / High Price
$0.41 / $0.55 / $0.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.57 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $1.09