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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Minnesota rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $4$520%10%10th90th$19Professionalmedian $6 · 10th–90th $4$80%50%10th90th$6$0.1$0.2$1.0$5.0$20.0$100.0

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
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.07
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$7.59
Typical High
$11.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$24.55
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.51
Typical High
$9.55
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$26.92
Typical High
$52.48
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$6.46
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.75
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.51
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.24
Typical High
$8.91