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Massachusetts rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.60 / $6.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $19.64 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $6.43 / $8.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $5.30 / $15.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $5.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.50 / $5.81 / $5.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $11.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $7.02
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.99 / $4.99 / $4.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.11 / $11.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.71 / $9.68