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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Washington rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$120%20%10th90th$6Professionalmedian $5 · 10th–90th $3$110%10%20%10th90th$5$0.1$0.2$1.0$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.63
Typical High
$28.18
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.89
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$6.92
Typical High
$13.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$7.94
Typical High
$13.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.90
Typical High
$60.26
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
$6.46
Median
$6.46
Typical High
$7.76
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.62
Typical High
$10.47
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$6.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.62
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$3.72
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.95
Typical High
$5.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.62
Typical High
$10.00