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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Iowa rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $9$520%10%10th90th$17Professionalmedian $17 · 10th–90th $10$300%10%20%10th90th$17$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
Facility
Modifier
Global
Typical Low
$12.59
Median
$15.14
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.60
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$30.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$32.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$22.91
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$35.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$27.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$19.95
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$16.98
Typical High
$16.98