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Maine 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
Professional
Modifier
Low / Median / High Price
$1.94 / $2.54 / $3.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $3.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.54 / $2.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.21 / $5.09