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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.57 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.80 / $6.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.00 / $17.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.80 / $3.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $6.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.47 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.74 / $3.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31