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Minnesota 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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.90 / $7.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.47 / $4.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $14.13 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.75 / $6.61
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.45 / $30.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $4.47 / $6.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.86 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.86 / $5.13