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South Dakota rates for HCPCS A7504

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

Facilitymedian $1 · 10th–90th $1–$20%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%10%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $1.05 / $1.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.62 / $4.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.05 / $1.05
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.87 / $1.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.95 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.65 / $1.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89