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West Virginia 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
$2.45 / $2.45 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.75 / $3.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $6.66 / $7.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $5.33 / $10.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $21.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.66 / $4.44