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Ostomy Pouch, Urinary, for Use on Faceplate, Plastic

Wyoming rates for HCPCS A4381

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$60%20%10th90th$3Professionalmedian $5 · 10th–90th $3$60%20%10th90th$5$5.0

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
$2.75
Median
$2.75
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
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
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.75
Typical High
$3.72