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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
$5.57 / $5.57 / $6.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.88 / $5.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $5.20 / $6.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $4.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $7.15 / $9.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $7.15 / $8.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.90 / $6.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.10 / $4.32