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Ostomy Pouch, Urinary, for Use on Faceplate, Rubber

Wyoming rates for HCPCS A4383

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $15$390%20%10th90th$19Professionalmedian $34 · 10th–90th $17$390%20%10th90th$34$20.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$34.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
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
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$22.39