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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Missouri rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $9$430%20%10th90th$17Professionalmedian $12 · 10th–90th $9$250%10%20%10th90th$12$2.0$5.0$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
$8.91
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$13.49
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$20.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.49
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$16.60