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Massachusetts rates for HCPCS A4331

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each

Facilitymedian $4 · 10th–90th $1–$790%20%10th90th$4Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.37 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.89 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $8,511.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.37 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.89 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $3.16 / $3.89