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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Arizona rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $2$130%10%10th90th$6Professionalmedian $4 · 10th–90th $2$60%10%20%10th90th$4$0.1$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
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$6.61
Typical High
$12.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.17
Typical High
$12.30
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
$3.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$5.13
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.75
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.51
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$4.07