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Michigan rates for HCPCS A4625

Tracheostomy Care Kit For New Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $7.37 / $7.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $7.37 / $7.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.65 / $29.19 / $53.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.68 / $13.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $6.29 / $6.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.58 / $6.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $7.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $8.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $6.99 / $7.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $7.37 / $10.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.09 / $7.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.55 / $6.93