go back

Utah rates for HCPCS A4623

Tracheostomy, inner cannula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $33.88
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 / $6.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.75 / $7.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.62 / $8.32
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.76 / $9.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.55 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $5.62