go back

Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Kansas rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $11$450%10%20%10th90th$20Professionalmedian $15 · 10th–90th $15$350%50%90th$15$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
$41.69
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.44
Typical High
$43.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$13.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$28.18
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.50
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$39.81
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$18.62
Typical High
$28.18