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Utah rates for HCPCS A4626

Tracheostomy Cleaning Brush Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.02 / $10.93
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 / $2.68 / $4.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.28 / $3.25 / $4.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.12 / $4.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.89 / $2.71