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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Virginia rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$110%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K

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
$3.98
Median
$3.98
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$4.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$6.76
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.47
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
$3.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.61
Typical High
$9.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$6.92
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.68
Typical High
$7.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.98
Typical High
$4.27
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$22.39
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$2.51
Typical High
$3.31
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.24
Typical High
$5.13