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Tracheostomy Care Kit for New Tracheostomy

Washington rates for HCPCS A4625

Tracheostomy care kit for new tracheostomy

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $5$190%10%20%10th90th$8Professionalmedian $8 · 10th–90th $3$170%10%10th90th$8$5.0$10.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$5.13
Typical High
$23.99
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.75
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.75
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$10.72
Typical High
$20.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$11.75
Typical High
$20.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.51
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$7.94
Typical High
$8.32
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$9.77
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$14.79
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.79
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.79
Typical High
$7.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.94
Typical High
$14.13