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Montana rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $10.93 / $10.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $4.67 / $4.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $4.67 / $4.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $4.45 / $4.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.51 / $4.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.89 / $2.16