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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Kansas rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $6$240%10%20%10th90th$13Professionalmedian $15 · 10th–90th $10$180%50%10th90th$15$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
$22.39
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$22.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
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
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$15.14
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.47
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$21.38
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$15.14