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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Missouri rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $33 · 10th–90th $17$790%20%10th90th$33Professionalmedian $22 · 10th–90th $17$460%20%10th90th$22$5.0$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
$16.98
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$25.70
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$38.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$33.88
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$25.12
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$30.20