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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Oregon rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $17$210%50%10th90th$20Professionalmedian $15 · 10th–90th $6$230%10%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.96
Typical High
$16.98
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
$11.75
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$39.81
Typical High
$45.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$21.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$16.98
Typical High
$23.44
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$20.89
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$22.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$18.62
Typical High
$25.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$18.20
Typical High
$34.67
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.32
Typical High
$13.49
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$16.98