go back

Oklahoma rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.87 / $3.87 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.81 / $3.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.88 / $5.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $5.69 / $5.69
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 / $3.90 / $5.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $4.05 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.19 / $6.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.92 / $3.94