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New Hampshire rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.18 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
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 / $2.27 / $3.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.63 / $11.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.20 / $2.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.30 / $4.20