go back

Alabama rates for HCPCS A4623

Tracheostomy Inner Cannula. (Rvsd 1/1/04) Ecial Coverage Instructions Apply. See Cim: 65-16)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $5.66 / $6.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.79 / $7.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $5.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.85 / $6.15