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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Iowa rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $16$980%10%10th90th$33Professionalmedian $32 · 10th–90th $19$540%20%10th90th$32$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$28.84
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$31.62
Typical High
$34.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$45.71
Typical High
$57.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$23.99
Typical High
$66.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$45.71
Typical High
$51.29
Midlands
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$66.07
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$17.78
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$37.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$32.36