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Michigan 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
$0.73 / $0.73 / $0.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.73 / $0.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.89 / $5.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.95 / $1.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.57 / $0.80
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.73 / $0.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.44 / $0.67