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Kentucky rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $6.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.71 / $11.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.13 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $10.47 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $5.89 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.57 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.24 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $3.02 / $4.17