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New Jersey rates for HCPCS A7504

Filter For Use In A Tracheostoma Heat And Moisture Exchange System Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.46 / $0.79
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 / $0.49 / $0.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.87 / $1.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.48 / $0.79