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North Dakota 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
$2.00 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.90 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $4.47 / $7.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.78 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.78 / $4.68