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Oklahoma rates for HCPCS A7504

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.57 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $1.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.68 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.46 / $1.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.54 / $0.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.42 / $0.56