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New Mexico 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
$0.70 / $0.70 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.68 / $2.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.68 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.60