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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Massachusetts rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$790%20%10th90th$4Professionalmedian $6 · 10th–90th $3$90%20%40%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.39
Typical High
$12.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.31
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.37
Typical High
$7.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.89
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.57
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$8.51
Health New England
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.31
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.37
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$5.13
Typical High
$5.75