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Indiana rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $4.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.46 / $3.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $4.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.25 / $3.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $4.73 / $6.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.90 / $6.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.06 / $2.99