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Washington rates for HCPCS A4626

Tracheostomy cleaning brush, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $5.72 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.52 / $5.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $3.78 / $21.36
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $4.45 / $7.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.58 / $8.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.70 / $4.45
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.01 / $4.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.90 / $7.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.03 / $6.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.78 / $4.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.04 / $3.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.57 / $2.25