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South Carolina rates for HCPCS A4626

Tracheostomy Cleaning Brush Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.02 / $3.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.71 / $4.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $2.68 / $3.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.68 / $3.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $3.32 / $5.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.81 / $2.41