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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Iowa rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$160%10%10th90th$5Professionalmedian $5 · 10th–90th $3$90%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0$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
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.68
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$5.13
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$9.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$13.49
Typical High
$14.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$7.41
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.89
Typical High
$10.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$8.32
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$10.72
Typical High
$10.72
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.95
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.24
Typical High
$6.17
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.25
Typical High
$5.25