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Ostomy Pouch, Closed, One-Piece, Convex

Michigan 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 Michigan, 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 $4.17 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 $3.16
FacilityA hospital or hospital-owned outpatient department$4.17$2.40 to $10.00

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $14Professionalmedian $3 · 10th to 90th $2 to $4
$0.05$0.2$1$5$20facility $4professional $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
$2.40
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.40
Typical High
$2.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$9.55
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.55
Typical High
$3.55
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$4.37
Typical High
$4.90
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.00
Typical High
$3.80
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.55
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.58
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.58
Typical High
$3.98

Where Michigan 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.

Michigan· 16th 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.