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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
$1.22 / $2.66 / $12.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $4.66 / $4.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $4.66 / $4.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $4.23 / $4.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $5.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.88 / $2.16