go back

Oklahoma rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.24 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $6.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.75 / $5.75
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 / $7.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.57 / $19.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.09 / $7.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $3.63 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.88 / $3.98