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Hawaii 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
$1.19 / $1.36 / $3.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $5.34 / $5.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.08 / $5.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $6.79 / $6.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $4.53 / $6.05
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.04 / $4.62