go back

Illinois 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
$2.50 / $2.50 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.58 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $9.52 / $38.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.33 / $3.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $5.43 / $9.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $5.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $6.04 / $6.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.21 / $3.80