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Mississippi 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
$6.48 / $6.48 / $6.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $6.47 / $6.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $6.23 / $7.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.33 / $6.33 / $6.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $5.50 / $6.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $6.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $3.69 / $8.17