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Pennsylvania 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
$2.18 / $2.18 / $3.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.72 / $3.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $4.44 / $4.44
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
Professional
Modifier
Low / Median / High Price
$4.88 / $6.01 / $6.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.72 / $37.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.72 / $4.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $6.30 / $8.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.18 / $4.23 / $4.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.23 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.23 / $3.69