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Alaska rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.90 / $4.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $9.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $6.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $6.31 / $13.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $5.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $5.38 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $6.19 / $11.30