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Illinois rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $5.08 / $5.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $5.08 / $8.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $22.81 / $79.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.78 / $6.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $10.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $11.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $10.22 / $20.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $12.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.30 / $12.66 / $13.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $4.51 / $9.40