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Nebraska rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.35 / $5.35 / $5.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $5.35 / $5.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $6.23 / $6.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $6.25 / $6.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $7.11 / $7.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $7.11 / $10.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $6.50 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $5.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.09 / $7.11 / $8.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $8.30 / $14.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $3.23 / $4.36