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Montana rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $18.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $6.78 / $6.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $6.78 / $6.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $6.46 / $6.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.09 / $6.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.75 / $3.24