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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Nationwide rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$140%20%10th90th$4Professionalmedian $4 · 10th–90th $3$80%20%40%10th90th$4$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$2.82
Median
$4.17
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.07
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.09
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.39
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$25.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.88
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.24
Typical High
$5.89