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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Nationwide rates for HCPCS A4379

Ostomy pouch, urinary, with faceplate attached, plastic, each

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $8$460%20%10th90th$14Professionalmedian $13 · 10th–90th $9$230%20%40%10th90th$13$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$18.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.22
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$79.43
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.33
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$19.05