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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Kansas rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $2$100%20%10th90th$7Professionalmedian $8 · 10th–90th $3$80%50%10th$8$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
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.89
Typical High
$7.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.55
Typical High
$10.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$7.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$4.57
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.24
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$6.61
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.09
Typical High
$4.57