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Hawaii rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $7.11
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.76 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.46 / $9.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.13 / $7.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.39 / $6.15