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North Carolina 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
$3.89 / $3.89 / $4.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $3.89 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $5.91 / $8.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.33 / $3.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $4.00 / $6.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.34 / $7.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.00 / $8.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.21 / $3.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $33.29