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California rates for HCPCS A4623

Tracheostomy, inner cannula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.69 / $22.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $4.00 / $21.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $7.79 / $7.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.81 / $3.38 / $8.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $8.52
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $10.64 / $16.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $16.72 / $29.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $5.50 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $6.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.79 / $9.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $5.45 / $12.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.62 / $45.62 / $68.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.41 / $23.41 / $23.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $7.24 / $8.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $7.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.68 / $14.68 / $14.68
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.51 / $21.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.88 / $7.57