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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Georgia rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $14$260%50%10th90th$25Professionalmedian $26 · 10th–90th $19$390%20%10th90th$26$0.5$2.0$10.0$50.0$200.0$1.0K

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
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$51.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
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
$26.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$39.81
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.49
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$38.90