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Louisiana 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
$2.54 / $3.14 / $3.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.14 / $3.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $6.60 / $9.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.75 / $2.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.12 / $3.48