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Pennsylvania rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.78 / $5.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $6.50 / $6.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $7.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $4.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $6.50 / $12.35
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.55 / $4.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $5.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.58 / $5.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $8.80 / $12.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $3.90 / $7.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $7.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $6.19 / $6.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.19 / $6.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.24 / $5.83