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Maryland rates for HCPCS A4623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.61 / $6.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $6.27
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $9.16 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.57 / $7.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $6.41