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Utah rates for HCPCS A4625

Tracheostomy Care Kit For New Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.03 / $24.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $5.81 / $7.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $11.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.39 / $7.07 / $9.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $6.78 / $10.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.09 / $5.89