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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

South Carolina rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $10$280%20%10th90th$17Professionalmedian $17 · 10th–90th $9$180%20%10th90th$17$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
$16.60
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$16.60
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$19.05
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$21.38
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$33.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$8.32
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$10.00
Typical High
$13.49