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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.37 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.80 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $9.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.88 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $4.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.37 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.80 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.51 / $3.89