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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Tennessee rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$850%20%40%10th90th$6Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$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
$3.31
Median
$3.80
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.07
Typical High
$5.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.95
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.02
Typical High
$3.80