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New York 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
$1.94 / $2.72 / $4.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.72 / $4.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $4.23 / $6.61
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.70 / $3.70
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $8.13 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $6.01 / $9.63
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.82 / $2.57
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.57 / $2.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.58 / $4.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.18
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.57 / $2.73