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California rates for HCPCS A4626

Tracheostomy Cleaning Brush Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.31 / $10.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.94 / $10.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.95 / $5.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.25 / $3.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $5.20 / $8.02
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $8.11 / $14.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.68 / $2.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.06
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.78 / $4.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.65 / $5.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $21.36 / $33.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $3.50 / $3.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $3.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.89 / $3.82