go back

Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Texas rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $16 · 10th–90th $10$410%20%10th90th$16Professionalmedian $13 · 10th–90th $9$180%20%10th90th$13$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$13.49
Christus
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$28.84
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$17.38
Typical High
$30.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$21.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.98
Typical High
$30.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$9.77
Typical High
$12.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$28.84