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New Jersey rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $3.16 / $5.35
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.98 / $8.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $4.32 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.24 / $5.46