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Montana 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 $4 · 10th–90th $3$60%20%10th90th$4Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$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
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.00
Typical High
$3.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.68
Typical High
$4.68
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$8.51
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$8.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$4.27
Typical High
$5.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.86
Typical High
$2.29