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South Dakota rates for HCPCS A7507

Filter Holder And Integrated Filter Without Adhesive For Use In A Tracheostoma Heat And Moisture Exchange System Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $2.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $2.39 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.58 / $3.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $5.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $4.04 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $2.12 / $3.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $3.84 / $5.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.88 / $7.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $3.41 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.73 / $2.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.32