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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
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $3.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $8.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.19 / $3.89