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Rhode Island 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
$2.58 / $3.43 / $4.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $15.80 / $18.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.36 / $7.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.50 / $6.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $6.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.75 / $8.48