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South Carolina 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
$0.76 / $0.76 / $0.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.76 / $0.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $1.00 / $1.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.57 / $0.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $0.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.88 / $1.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.44 / $0.56