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California rates for HCPCS A4625

Tracheostomy Care Kit For New Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.84 / $24.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.21 / $23.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $3.57 / $9.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $9.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $11.71 / $18.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $18.37 / $32.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $5.81 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $6.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $8.55 / $10.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.99 / $13.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.85 / $61.85 / $72.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $7.79 / $8.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $7.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $16.16 / $16.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $6.84 / $6.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.09 / $8.55