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New York rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.18 / $4.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.18 / $4.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $6.63
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.71 / $3.71
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $3.71
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 / $3.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $10.01 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.34 / $8.14
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.58 / $3.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.76 / $6.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.22 / $4.01
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.58 / $2.58
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.58 / $2.74