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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Texas rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$130%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$5.0$50.0$500.0

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
$3.24
Median
$4.17
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.17
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Christus
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$8.91
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
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$48.98
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$5.37
Typical High
$9.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$6.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$5.25
Typical High
$9.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$4.17
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.95
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.95
Typical High
$3.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.61
Typical High
$8.91