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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Indiana 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%10th90th$5Professionalmedian $4 · 10th–90th $3$60%10%20%10th90th$4$2.0$5.0$10.0$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
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.07
Typical High
$5.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$6.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$6.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$9.77
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
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.51
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.09
Typical High
$4.57