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Extension Drainage Tubing for Leg Bag or Urostomy Pouch

Utah rates for HCPCS A4331

Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each

Rates data updated October 2026.

How much does Extension Drainage Tubing for Leg Bag or Urostomy Pouch cost?

$1.86

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $1.86 for this service. Most negotiated rates run $1.48 to $3.16.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $2 · 10th to 90th $1 to $4
$2$5$10$20facility $1professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.23
Median
$1.23
Typical High
$1.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.23
Typical High
$2.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Molina
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Select Health
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Select Health
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.57
Typical High
$4.68
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$4.57
Typical High
$6.76
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.86
Typical High
$3.72

Where Utah sits

The same service costs 2.8 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 51st of 51

$1.86

HI $5.13UT $1.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.