go back

Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Kentucky rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $8$290%20%10th90th$11Professionalmedian $11 · 10th–90th $9$180%20%10th90th$11$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
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$17.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$28.18
Typical High
$36.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$104.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.23
Typical High
$13.18