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Michigan rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.88 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $11.40 / $20.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $3.78 / $5.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.76 / $3.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.88 / $3.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.79 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.89 / $2.71