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Oklahoma 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
$2.65 / $2.65 / $3.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.62 / $2.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.92 / $7.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.70 / $22.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.06 / $2.70