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Oregon 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
$2.50 / $5.71 / $22.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
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
$4.67 / $16.34 / $19.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $6.82 / $8.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.01 / $8.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $7.79 / $9.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.24 / $9.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $6.82 / $8.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.82 / $8.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.57 / $8.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $3.88 / $7.41