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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Florida rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $18$340%20%40%10th90th$29Professionalmedian $28 · 10th–90th $18$350%10%20%10th90th$28$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
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$34.67
AvMed
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$22.39
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$38.02
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$23.99
Typical High
$39.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.91
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$17.78
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.05
Typical High
$23.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$39.81