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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

North Dakota rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $25$490%50%10th90th$29Professionalmedian $37 · 10th–90th $16$480%20%10th90th$37$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
$25.12
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$25.12
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$43.65
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$45.71
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$33.88
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$18.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$45.71