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Montana rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $24.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $10.16 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $10.16 / $10.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $9.68 / $10.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $7.62 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $4.09 / $4.82