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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Oklahoma rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $10$300%20%40%10th90th$13Professionalmedian $11 · 10th–90th $6$130%10%10th90th$11$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
$12.30
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.30
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$13.80
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$97.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.00
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.77
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$8.91
Typical High
$12.88