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Utah rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Facilitymedian $1 · 10th–90th $1–$40%50%90th$1Professionalmedian $4 · 10th–90th $2–$280%10%10th90th$4$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.57
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.68 / $6.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $7.24
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.46 / $6.61
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.61 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.51 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.75 / $4.90