go back

Minnesota 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
$0.61 / $0.61 / $0.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.61 / $0.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.02 / $1.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.92 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $3.10 / $8.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.19 / $1.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $2.95 / $6.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.46 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.46 / $1.24