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Wisconsin 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 $5 · 10th–90th $4–$70%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2–$70%20%10th90th$3$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $6.61 / $8.51
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.80 / $6.61
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.24 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $4.47 / $28.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.19 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.13 / $8.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.76 / $11.48
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $5.50 / $21.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.19 / $3.63