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Maine rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.71 / $4.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $5.81 / $5.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.94 / $6.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $6.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $4.33 / $4.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $4.74 / $9.44