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Ostomy Pouch, Urinary, with Faceplate Attached, Plastic

Washington rates for HCPCS A4379

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $12$400%20%10th90th$20Professionalmedian $17 · 10th–90th $9$350%10%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
$12.02
Median
$12.02
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.02
Typical High
$91.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.75
Typical High
$11.75
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$22.91
Typical High
$44.67
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$26.30
Typical High
$43.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$16.22
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$20.42
Typical High
$20.89
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.89
Typical High
$20.89
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$33.88
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$20.42
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.20
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.91
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.55
Typical High
$16.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$18.20
Typical High
$32.36