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South Carolina rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $5.20 / $5.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $5.20 / $5.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $6.30 / $7.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $3.90 / $4.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.32 / $4.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $5.53 / $10.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.98 / $3.89