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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.66 / $12.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.28 / $3.62 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $3.11 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.88 / $2.84