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Connecticut 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
$2.86 / $2.86 / $2.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.86 / $3.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.66 / $6.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.21 / $3.38