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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Nebraska 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?

$6.46

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $10.00 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$6.46$3.47 to $6.46
FacilityA hospital or hospital-owned outpatient department$10.00$6.46 to $13.49

How much rates vary

Facilitymedian $10 · 10th to 90th $4 to $79Professionalmedian $6 · 10th to 90th $3 to $8
$5$10$20$50facility $10professional $6

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
$8.13
Median
$8.13
Typical High
$8.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.46
Typical High
$8.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$6.31
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$11.75
Typical High
$20.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.90
Typical High
$10.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.96
Typical High
$26.30
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$24.55
Typical High
$26.30
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$6.03
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.68
Typical High
$7.76

Where Nebraska 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.

Nebraska· 28th of 51

$6.46

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.