go back

Wisconsin rates for HCPCS A4625

Tracheostomy Care Kit For New Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $6.13 / $7.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $10.65 / $17.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.00 / $11.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $20.72 / $20.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $26.13 / $40.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $14.29 / $18.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $7.87 / $11.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $8.55 / $11.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $9.68 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.91 / $4.88 / $11.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $8.43 / $11.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $8.55 / $11.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $14.87 / $25.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $18.89 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.81 / $61.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.82 / $9.25