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California rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.90 / $18.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.83 / $17.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $6.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.81 / $7.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.80 / $8.83 / $13.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $13.89 / $24.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $3.90 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $4.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $6.46 / $7.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $4.51 / $10.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $32.18 / $48.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.53 / $19.53 / $19.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $5.70 / $6.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.90 / $5.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $12.21 / $12.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $3.05 / $5.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.75 / $6.46