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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Tennessee rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $8$1020%20%40%10th90th$19Professionalmedian $13 · 10th–90th $9$180%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
$10.96
Median
$12.30
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.18
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$9.55
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.77
Typical High
$12.30