go back

Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Nebraska rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $3$790%20%10th90th$7Professionalmedian $4 · 10th–90th $2$60%20%40%10th90th$4$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
$5.37
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.27
Typical High
$5.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.31
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$7.59
Typical High
$13.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$9.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.24
Typical High
$6.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$17.38
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$16.22
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.89
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.09
Typical High
$5.01