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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Louisiana rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $10$400%20%10th90th$15Professionalmedian $13 · 10th–90th $8$170%20%10th90th$13$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
$12.02
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.90
Typical High
$43.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$12.88