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Missouri 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
$1.90 / $3.11 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.50 / $4.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.46 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.44 / $9.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.21 / $22.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.21 / $3.29