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Pennsylvania 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
$0.47 / $0.47 / $0.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.59 / $0.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.95 / $0.95
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
$0.87 / $0.95 / $1.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.59 / $0.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.30 / $1.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $1.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.91 / $0.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.91 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.48 / $0.80