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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

North Carolina rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$120%20%10th90th$6Professionalmedian $5 · 10th–90th $3$60%20%40%10th90th$5$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.62
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$9.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.24
Typical High
$4.57
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.75
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$4.07
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.09
Typical High
$4.57
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$48.98