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Montana rates for HCPCS A7504

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

Facilitymedian $1 · 10th–90th $1–$10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$40%20%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.02 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $1.00 / $1.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $0.93 / $1.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.93 / $1.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $0.89 / $1.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.32 / $0.48 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.41 / $0.54