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Montana rates for HCPCS A4481

Tracheostoma filter, any type, any size, each

Facilitymedian $1 · 10th–90th $0–$10%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$20%20%10th90th$1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.24 / $2.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.54 / $0.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.54 / $0.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.41 / $0.50 / $0.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.50 / $0.98
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.48 / $0.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.37 / $0.54 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.18 / $0.26 / $0.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $0.22 / $0.30