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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

North Dakota rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$80%50%10th90th$5Professionalmedian $6 · 10th–90th $3$80%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

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
$4.68
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$4.07
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$7.59
Typical High
$9.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.50
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.98
Typical High
$7.59