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Michigan 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 $8 · 10th–90th $3–$200%10%20%10th90th$8Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $13.18 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.82 / $3.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $8.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.24 / $5.50
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.82 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.09 / $3.16