go back

Illinois rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.18 / $3.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $9.56 / $33.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.84 / $2.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $4.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $4.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $6.77 / $8.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $4.91 / $4.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $4.73 / $5.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.89 / $3.34