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Montana 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
$0.82 / $2.78 / $2.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.00 / $1.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.95 / $1.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.76 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.68