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Connecticut 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
$5.89 / $5.89 / $5.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.12 / $5.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $6.62
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.95 / $5.95 / $5.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.95 / $8.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.57 / $8.02