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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Oklahoma rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$90%20%40%10th90th$4Professionalmedian $3 · 10th–90th $2$40%20%10th90th$3$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
$3.80
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.80
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.89
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.09
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.75
Typical High
$3.89