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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Nebraska rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $9$980%10%20%10th90th$21Professionalmedian $14 · 10th–90th $6$190%20%40%10th90th$14$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
$17.38
Median
$17.38
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.80
Typical High
$17.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$24.55
Typical High
$35.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.47
Typical High
$20.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$56.23
Midlands
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$52.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$12.59
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$16.60