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Tennessee 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
$2.29 / $2.59 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.75 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.44 / $10.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.11 / $33.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.06 / $2.60