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New Hampshire rates for HCPCS A7504

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

Facilitymedian $1 · 10th–90th $0–$10%10%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$0.2$0.5$1.0$2.0$5.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.95 / $1.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.58 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $1.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.32 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.54 / $0.83
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $1.26