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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Nationwide rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $15$850%20%10th90th$27Professionalmedian $25 · 10th–90th $16$440%20%10th90th$25$0.1$1.0$20.0$500.0$10.0K$200.0K

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
$17.38
Median
$25.70
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.12
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$18.62
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$20.89
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$35.48