go back

California rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $1.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $0.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.21 / $0.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.24 / $0.47
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.73 / $1.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $1.11 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.31 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.51 / $0.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.36 / $1.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.68 / $3.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.47 / $0.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.50