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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
$3.81 / $3.81 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.66 / $3.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $4.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $3.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.77 / $6.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $5.33 / $6.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $4.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.21 / $3.18