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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Rhode Island rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $11$490%20%10th90th$39Professionalmedian $11 · 10th–90th $9$160%10%20%10th90th$11$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.12
Typical High
$15.85
BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$48.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.96
Typical High
$18.62
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
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$10.96
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.02
Typical High
$17.38