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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

Facilitymedian $2 · 10th–90th $2–$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$170%20%10th90th$2$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.63 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.04 / $5.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $2.24 / $6.17
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $9.33
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.13 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $5.01 / $6.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $13.49
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.47
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $4.57 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $4.37
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.07 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.00 / $4.57