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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

New Mexico rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $6$230%10%10th90th$15Professionalmedian $13 · 10th–90th $6$320%10%20%10th90th$13$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
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$14.79
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$36.31
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$15.85
Typical High
$25.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.91
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.91
Typical High
$13.49