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Florida 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
$2.00 / $3.02 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.02 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $8.91 / $19.05
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.69 / $3.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.00 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.78 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.14 / $2.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $4.57