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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Alaska rates for HCPCS A4391

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

Rates data updated July 2026.

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

$8.71

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $9.55 from a physician practice, and about $5.62 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 6 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$9.55$4.37 to $9.77
FacilityA hospital or hospital-owned outpatient department$5.62$2.69 to $9.55

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $10Professionalmedian $10 · 10th to 90th $3 to $15
$5$10$20facility $6professional $10

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
Professional
Modifier
Global
Typical Low
$2.88
Median
$7.59
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$11.75
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$9.55
Typical High
$10.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$9.77
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$10.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$10.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.41
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.80
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.01
Typical High
$20.42

Where Alaska 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.

Alaska· 9th of 51

$8.71

HI $10.96CO $4.90

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.