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Kentucky 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 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $6.03 / $7.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.50 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.63 / $21.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $6.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.19 / $2.95