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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Alaska rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $6$210%20%40%10th90th$12Professionalmedian $20 · 10th–90th $6$320%20%10th90th$20$10.0$20.0$50.0$100.0

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
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$15.85
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$14.45
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$20.42
Typical High
$21.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$21.88
Typical High
$64.57
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$20.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.89
Typical High
$21.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$22.39
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$8.13
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.47
Typical High
$42.66