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California 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
Facility
Modifier
Low / Median / High Price
$1.19 / $1.31 / $12.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $2.06 / $12.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.56 / $1.86 / $3.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $4.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $6.56 / $9.41
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $11.22 / $16.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.88 / $5.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.55 / $10.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $33.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $9.10 / $9.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $4.44 / $6.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $4.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.71 / $4.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.00 / $5.79