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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Delaware rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $13$260%50%10th90th$25Professionalmedian $24 · 10th–90th $19$1510%20%10th90th$24$20.0$50.0$100.0

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
$19.50
Median
$23.99
Typical High
$151.36
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
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$29.51