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Ostomy Pouch, Drainable, One-Piece, Extended Wear

Utah rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, One-Piece, Extended Wear cost?

$4.37

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $1.66 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$4.37$2.75 to $6.46
FacilityA hospital or hospital-owned outpatient department$1.66$1.66 to $2.04

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $4 · 10th to 90th $2 to $26
$2$5$10$20facility $2professional $4

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
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$3.98
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.47
Typical High
$6.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$6.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$6.17
Typical High
$6.17
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.17
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.34
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$4.68

Where Utah sits

The same service costs 2.2 times more in Hawaii 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.

Utah· 24th of 51

$4.37

HI $6.76CO $3.02

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.