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Illinois rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $3.65 / $6.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $5.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $15.68 / $60.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.90 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $7.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.21 / $13.53
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $8.13 / $9.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.23 / $5.74