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Missouri rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.98 / $7.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.25 / $6.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.31 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $5.50 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.24 / $32.36
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.24 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $3.16 / $4.90