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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Idaho rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $8$320%20%10th90th$19Professionalmedian $15 · 10th–90th $6$280%10%20%10th90th$15$10.0$20.0$50.0

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
$14.13
Typical High
$28.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.44
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.80
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$13.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$19.50
Typical High
$28.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.42
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$23.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$32.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$20.42
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$8.13
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.91
Typical High
$12.02