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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Oklahoma rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $19$580%50%10th90th$23Professionalmedian $20 · 10th–90th $11$250%20%10th90th$20$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
$22.91
Median
$23.44
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.91
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$26.30
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.39
Typical High
$27.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$18.62
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$18.62
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$23.99