go back

Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Georgia rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $2$40%50%10th$4Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$5.0$50.0$500.0

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
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.07
Typical High
$5.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.37
Typical High
$8.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
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
$7.94
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.61
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$2.51
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.09
Typical High
$6.31