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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Kentucky rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$90%20%10th90th$3Professionalmedian $3 · 10th–90th $3$50%20%40%10th90th$3$0.1$0.2$1.0$5.0$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
$3.31
Median
$3.31
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$5.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$8.71
Typical High
$11.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.57
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.79
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$2.51
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$3.16
Typical High
$4.07