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Arkansas rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $5.23 / $5.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $5.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $7.43 / $8.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.90 / $4.82
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.74 / $4.74 / $5.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.01 / $3.90