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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Louisiana rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$120%20%10th90th$5Professionalmedian $4 · 10th–90th $2$50%20%10th90th$4$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
$3.72
Median
$4.57
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.57
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.55
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$2.51
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.02
Typical High
$3.89