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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Virginia rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $12$350%20%10th90th$17Professionalmedian $13 · 10th–90th $9$190%20%40%10th90th$13$0.2$2.0$20.0$200.0$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
$12.88
Median
$12.88
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$15.85
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$21.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$14.45
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
$21.38
Typical High
$30.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$22.39
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$15.14
Typical High
$25.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.88
Typical High
$13.80
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$64.57
Sentara
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$8.13
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.47
Typical High
$16.60