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Vermont 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 / $6.18 / $6.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.29 / $6.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $6.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.50 / $6.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $5.24 / $10.58