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Georgia 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
$5.53 / $5.53 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $5.53 / $6.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.51 / $6.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $7.27 / $16.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $8.74 / $17.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $6.62 / $6.62
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 / $10.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $8.74 / $11.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.36 / $7.27