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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
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.89 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.69 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.88 / $3.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.47 / $6.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.51 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.91 / $2.45