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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Kentucky rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $14$550%20%10th90th$20Professionalmedian $20 · 10th–90th $17$340%20%40%10th90th$20$0.5$2.0$10.0$50.0

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
$20.42
Median
$20.42
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$23.99
Typical High
$33.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$21.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$53.70
Typical High
$69.18
CareSource
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$29.51
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$15.14
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$24.55