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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.68 / $4.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.37 / $8.51
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.37 / $8.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $4.27 / $6.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.68 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.86 / $2.29