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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Idaho rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$100%10%20%10th90th$6Professionalmedian $5 · 10th–90th $2$90%10%10th90th$5$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
$4.37
Typical High
$8.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$6.17
Typical High
$10.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.24
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.57
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$6.03
Typical High
$8.71
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.31
Typical High
$6.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$7.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$10.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.31
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.51
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$3.72