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Washington rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $11.74 / $12.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $5.17 / $11.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.99 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $7.99 / $61.85
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 / $4.94 / $7.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $9.53 / $16.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $9.67 / $17.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $7.92 / $9.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.53 / $8.22 / $9.68
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $8.23 / $9.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.99 / $14.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $8.44 / $13.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.76 / $9.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.42 / $7.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $7.09 / $7.09