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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Oregon rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $5$60%50%10th90th$6Professionalmedian $5 · 10th–90th $2$70%10%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.31
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$12.02
Typical High
$13.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$6.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.62
Typical High
$7.24
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.31
Typical High
$6.46
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$6.46
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.62
Typical High
$7.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$6.17
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.24
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.51
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.75
Typical High
$5.25