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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Mississippi rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $15$400%20%10th90th$34Professionalmedian $32 · 10th–90th $16$400%20%10th90th$32$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
$33.88
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$33.88
Typical High
$39.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$35.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$26.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$15.14
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$28.18