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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
$3.23 / $3.23 / $3.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.83 / $3.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.90 / $5.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.30 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.23 / $4.44 / $7.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.88 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.85 / $3.71