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Alaska rates for HCPCS A4331

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.26 / $5.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.25 / $13.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.37 / $4.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.26 / $5.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.72 / $5.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.34 / $11.16