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Utah rates for HCPCS A4629

Tracheostomy Care Kit For Established Tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.02 / $18.67
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 / $7.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.73 / $6.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $4.51 / $6.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.75 / $3.94