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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
Professional
Modifier
Low / Median / High Price
$1.00 / $1.86 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.88 / $5.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.58 / $1.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.78 / $2.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.89 / $1.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.58 / $0.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.45 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.44 / $0.68