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South Carolina rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.32 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.75 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $11.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.31 / $6.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.59 / $14.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $3.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.37 / $6.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.07 / $5.25