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Utah 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
$0.26 / $0.26 / $0.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.51 / $2.78
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 / $0.57 / $1.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.69 / $0.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.67 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.41 / $0.56