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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Nebraska rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $16$1860%10%20%10th90th$40Professionalmedian $26 · 10th–90th $12$350%20%40%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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$25.70
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$45.71
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$23.99
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.05
Typical High
$30.90