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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Arizona rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $6$460%10%10th90th$20Professionalmedian $12 · 10th–90th $6$210%10%20%10th90th$12$0.2$1.0$5.0$20.0$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
$12.59
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$23.99
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$16.60
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.32
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$13.49