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West Virginia 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
$0.53 / $0.53 / $0.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.59 / $0.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.28 / $1.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.67 / $1.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.71 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.57 / $4.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.48 / $0.80