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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Missouri 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?

$5.89

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $8.32 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$5.50$4.90 to $8.71
FacilityA hospital or hospital-owned outpatient department$8.32$5.25 to $10.00

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $20Professionalmedian $5 · 10th to 90th $4 to $12
$5$10$20$50facility $8professional $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
$4.27
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.46
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.25
Typical High
$9.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$8.51
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.90
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$6.31
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.90
Typical High
$7.59

Where Missouri 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.

Missouri· 43rd of 51

$5.89

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.