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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Michigan rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $10$950%10%20%10th90th$28Professionalmedian $16 · 10th–90th $10$210%20%10th90th$16$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
$15.85
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.18
Typical High
$17.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$63.10
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$21.88
CareSource
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
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
$13.18
Typical High
$14.45
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$39.81
Typical High
$44.67
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.98
Typical High
$25.70
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.77
Typical High
$15.14