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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Louisiana rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $18$720%20%10th90th$28Professionalmedian $26 · 10th–90th $15$320%20%10th90th$26$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
$22.39
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$33.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$58.88
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$23.99