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Massachusetts rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.83 / $4.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $18.52 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.46 / $6.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.32 / $7.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $5.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.20 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.24 / $8.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.38 / $6.50