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Washington 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 $0–$20%20%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $4.17 / $4.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.58 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.49 / $0.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.48 / $1.07 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $1.10 / $1.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.74 / $0.93 / $0.95
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $0.95
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.83 / $1.55
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $0.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.81 / $1.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.43 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.47 / $0.78
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.81 / $1.45