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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Michigan 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?

$7.59

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $10.23 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$7.59$5.25 to $9.77
FacilityA hospital or hospital-owned outpatient department$10.23$7.59 to $29.51

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $45Professionalmedian $8 · 10th to 90th $4 to $10
$0.1$1$10$100facility $10professional $8

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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.31
Typical High
$8.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$29.51
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$10.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.17
Typical High
$6.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.71
Typical High
$20.89
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.94
Typical High
$12.02
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.80
Typical High
$6.31
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.68
Typical High
$7.08

Where Michigan 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.

Michigan· 17th of 51

$7.59

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.