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Washington 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
$2.52 / $5.72 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.52 / $5.97
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.89 / $32.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $5.05 / $8.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.73 / $5.05 / $8.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.41 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $4.34 / $4.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $4.44 / $4.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $3.89 / $7.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.34 / $4.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.77 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.25 / $3.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.13 / $3.77