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Utah rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Facilitymedian $2 · 10th–90th $2–$60%50%90th$2Professionalmedian $6 · 10th–90th $3–$370%10%10th90th$6$0.1$0.5$2.0$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $6.03 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $6.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.08 / $9.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.92 / $9.77
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.77 / $9.77
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.07 / $7.08