go back

Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Vermont rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$40%20%40%10th90th$3Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$6.17
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.24
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.98
Typical High
$12.88