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Texas 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
$0.48 / $0.62 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.63 / $0.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.56 / $2.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $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 / $0.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $7.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.70 / $0.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.87 / $0.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $0.67 / $0.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.43 / $0.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.95