go back

Montana rates for HCPCS A4623

Tracheostomy, inner cannula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $22.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $9.61 / $9.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $9.61 / $9.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $9.16 / $9.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $7.22 / $9.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.88 / $4.57