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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Minnesota rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $14$1700%10%10th90th$63Professionalmedian $21 · 10th–90th $13$250%20%40%10th90th$21$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
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$13.49
Typical High
$17.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$20.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$79.43
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.92
Typical High
$30.90
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$87.10
Typical High
$169.82
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$26.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$20.89
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.91
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.13
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$28.84