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South Carolina 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
$3.55 / $3.55 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.55 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.44 / $6.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $4.00 / $7.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.12 / $2.67