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Massachusetts rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $7.67 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.00 / $4.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $8.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.68 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $4.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.81
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.22 / $6.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.22 / $4.45