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Wisconsin rates for HCPCS A4623

Tracheostomy, inner cannula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $15.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.71 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $28.18 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $13.18 / $17.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $7.41 / $11.75
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $20.42 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $9.12 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.68 / $10.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $14.13 / $23.99
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $18.62 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $9.33 / $45.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.57 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $8.13