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Minnesota rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $4.15 / $4.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $6.94 / $9.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.31 / $6.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $19.66 / $54.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.95 / $9.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $18.86 / $42.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $6.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.08 / $7.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.75 / $6.52