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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

New Jersey rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $15$400%50%10th90th$19Professionalmedian $24 · 10th–90th $12$340%10%20%10th90th$24$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
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$33.88
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
$22.39
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$37.15
Typical High
$52.48
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$18.62
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$38.90