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West Virginia rates for HCPCS A4629

Tracheostomy care kit for established tracheostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.98 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.27 / $8.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $10.47 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $31.62
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.57 / $4.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $4.27 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.72 / $5.62