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North Carolina 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
$0.84 / $34.04 / $34.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.84 / $0.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.26 / $1.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.71 / $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
$0.49 / $0.57 / $1.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.84 / $1.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.47 / $0.74
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $7.13