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Nebraska 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
$0.79 / $0.79 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.92 / $0.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $1.05 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $1.05 / $1.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.95 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.23 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.65