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Texas rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.21 / $4.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $4.26 / $5.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $4.12 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $7.94 / $18.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.47 / $3.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.88 / $8.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $146.07 / $146.07
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 / $4.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $32.18 / $48.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $4.84 / $6.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $5.53 / $6.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $4.63 / $6.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $5.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.99 / $3.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $6.50