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Indiana rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.57 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $5.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.13 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.89 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $6.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.24 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.09 / $4.68