go back

South Carolina rates for HCPCS A4625

Tracheostomy Care Kit For New Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.58 / $6.58 / $6.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $6.58 / $7.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.56 / $9.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $5.81 / $5.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $7.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $7.20 / $12.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.05 / $5.30