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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Florida rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$60%20%40%10th90th$5Professionalmedian $5 · 10th–90th $3$60%10%20%10th90th$5$0.1$0.2$1.0$5.0$20.0

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
$2.88
Median
$4.68
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.68
Typical High
$5.62
AvMed
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.24
Typical High
$6.31
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$3.98
Typical High
$6.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.80
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.95
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.16
Typical High
$3.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$6.61