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Ohio 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
$2.82 / $2.82 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.82 / $3.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.67 / $5.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.33 / $6.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.77 / $9.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.80 / $4.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.20 / $2.82