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Pennsylvania rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $4.74 / $7.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $5.62 / $7.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.68 / $9.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $11.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $7.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $9.68 / $18.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $6.54 / $6.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $4.74 / $7.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $5.34 / $8.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $13.20 / $19.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $11.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $11.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $9.21 / $9.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.21 / $9.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $4.82 / $8.74