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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Florida 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?

$7.08

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $7.08 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 8 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$7.08$5.25 to $8.71
FacilityA hospital or hospital-owned outpatient department$7.08$4.47 to $7.08

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $9Professionalmedian $7 · 10th to 90th $4 to $9
$5$10$20facility $7professional $7

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
$4.47
Median
$7.08
Typical High
$7.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.08
Typical High
$8.71
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.61
AvMed
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$9.55
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$6.03
Typical High
$10.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.75
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$6.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$10.00

Where Florida 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.

Florida· 23rd of 51

$7.08

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.