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New York 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
$1.10 / $1.10 / $1.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.95 / $4.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $1.51 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.98
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.58 / $3.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.07 / $1.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $0.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.93 / $0.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.54 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.48 / $0.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.68 / $0.71
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $0.68