go back

Ostomy Pouch, Closed, One-Piece, Convex

Iowa rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, One-Piece, Convex cost?

$2.51

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2.51 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.63 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.51$2.00 to $2.75
FacilityA hospital or hospital-owned outpatient department$2.63$2.09 to $3.55

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $89Professionalmedian $3 · 10th to 90th $2 to $5
$1$2$5$10$20$50$100facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.29
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.51
Typical High
$2.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$3.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.72
Typical High
$4.68
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.79
Typical High
$5.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.07
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.69
Typical High
$5.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.72
Typical High
$8.51
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.25
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.00
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.58
Typical High
$3.98
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$2.57

Where Iowa sits

The same service costs 2.1 times more in California than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 26th of 51

$2.51

CA $3.55CO $1.66

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.