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New Hampshire 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
$2.34 / $2.34 / $2.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.34 / $3.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $3.62 / $5.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.21 / $3.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.29 / $4.19