go back

Ostomy Pouch, Urinary, One-Piece, Extended Wear

Kentucky 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?

$5.13

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $5.13 for this service. The price depends on where it is billed: about $5.13 from a physician practice, and about $5.13 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$5.13$4.90 to $6.31
FacilityA hospital or hospital-owned outpatient department$5.13$5.13 to $13.18

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $14Professionalmedian $5 · 10th to 90th $4 to $9
$0.1$0.5$2$10facility $5professional $5

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
$5.13
Median
$5.13
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.03
Typical High
$8.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$13.18
Typical High
$17.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.92
Typical High
$48.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.80
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.79
Typical High
$6.17

Where Kentucky 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.

Kentucky· 48th of 51

$5.13

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.