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Iowa rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $4.13 / $5.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.90 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $7.11 / $9.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $6.46 / $11.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $7.59 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.34 / $8.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $7.11 / $8.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $7.76 / $13.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.23 / $8.02
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.14 / $6.14 / $6.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.14 / $6.14