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Pennsylvania rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.73 / $3.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.45 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $4.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.45 / $8.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $2.73 / $3.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $6.10 / $8.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $2.68 / $4.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $4.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $4.24 / $4.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.24 / $4.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.22 / $3.89