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Indiana 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
$3.02 / $3.80 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $4.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $3.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $5.75 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $4.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.14 / $3.16