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Iowa rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.98 / $6.17 / $6.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $6.14 / $7.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $9.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $9.05 / $14.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $9.31 / $14.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $10.57 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.88 / $12.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.05 / $10.43 / $12.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $10.70 / $17.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.23 / $11.22
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $7.82 / $7.82