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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Mississippi rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$70%20%10th90th$6Professionalmedian $5 · 10th–90th $3$70%10%20%10th90th$5$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
$5.62
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$5.25
Typical High
$6.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.51
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.09
Typical High
$4.68