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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Oregon rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $32$400%50%10th90th$39Professionalmedian $29 · 10th–90th $12$450%10%10th90th$29$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Global
Typical Low
$11.48
Median
$20.42
Typical High
$31.62
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
$22.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$74.13
Typical High
$85.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$30.90
Typical High
$41.69
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$32.36
Typical High
$44.67
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$39.81
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$39.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$33.88
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.60
Typical High
$31.62