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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