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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

New Jersey rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$70%50%10th90th$3Professionalmedian $4 · 10th–90th $2$60%20%10th90th$4$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
$3.16
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.16
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.03
Typical High
$8.71
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.72
Typical High
$6.46