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Wisconsin rates for HCPCS A7504

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

Facilitymedian $1 · 10th–90th $1–$20%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%40%10th90th$1$0.5$2.0$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $0.89 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $3.16 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $1.41 / $1.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.54 / $0.83 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.87 / $1.78 / $2.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.55 / $0.95 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.48 / $1.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.51 / $1.51
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.10 / $1.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.45 / $2.09
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $1.95 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $1.00 / $4.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $0.98 / $0.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.48 / $0.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.48 / $0.79