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New Hampshire rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.40 / $3.40 / $4.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.19 / $3.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.29 / $3.90 / $3.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $4.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $16.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.24 / $3.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.80 / $6.10