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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

New Jersey rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $8$210%50%10th90th$10Professionalmedian $13 · 10th–90th $6$180%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
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.23
Typical High
$18.20
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
$11.75
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$19.50
Typical High
$28.18
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$9.77
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$20.89