go back

South Dakota rates for HCPCS A7509

Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.34 / $1.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.46 / $2.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $2.25 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.20 / $2.22
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.17 / $2.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.20 / $4.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.92 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.98 / $1.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87