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Florida 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
$4.13 / $5.16 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.66 / $6.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $5.56 / $7.79
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 / $6.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $24.06 / $40.38
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $6.50 / $9.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $6.71 / $7.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $4.47 / $5.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $6.71 / $6.71