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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Colorado rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $11$500%10%10th90th$28Professionalmedian $17 · 10th–90th $16$280%20%40%10th90th$17$0.5$2.0$10.0$50.0

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
$16.98
Median
$16.98
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$25.70
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$26.30
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$29.51
Typical High
$54.95
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$85.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$39.81
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$25.12