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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.38 / $3.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $13.39 / $25.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $4.62 / $5.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $6.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.38 / $5.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.21 / $5.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.20 / $5.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.09 / $3.43