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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Arizona rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $11$790%10%10th90th$35Professionalmedian $22 · 10th–90th $11$360%10%20%10th90th$22$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Global
Typical Low
$11.48
Median
$23.44
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$40.74
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$38.02
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$30.90
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$25.12