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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

Facilitymedian $4 · 10th–90th $3–$90%10%10th90th$4Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $5.25 / $8.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $5.62 / $8.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.39 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $4.37 / $4.47
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $4.47
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $6.92 / $8.51
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $4.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.89 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $2.88 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.86 / $3.63
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $6.76