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Montana rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Facilitymedian $9 · 10th–90th $6–$120%20%10th90th$9Professionalmedian $7 · 10th–90th $4–$120%10%10th90th$7$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $6.03 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.23 / $10.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $18.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $18.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.32 / $11.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.07 / $5.50