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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Alaska rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$70%50%90th$2Professionalmedian $6 · 10th–90th $2$100%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$1.91
Median
$4.90
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$7.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$3.47
Typical High
$6.61
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.61
Typical High
$21.38
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$6.31
Typical High
$6.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$6.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$6.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.79
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.51
Typical High
$2.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.24
Typical High
$13.18