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Wyoming 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
Professional
Modifier
Low / Median / High Price
$2.52 / $3.23 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $3.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.88 / $1.88