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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Nevada 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 Nevada, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $8.71 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$6.61$5.25 to $8.71
FacilityA hospital or hospital-owned outpatient department$8.71$8.71 to $8.71

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $9Professionalmedian $7 · 10th to 90th $4 to $14
$0.1$0.5$2$10facility $9professional $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
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.41
Typical High
$42.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.01
Typical High
$6.31
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.12
Typical High
$16.98
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.12
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$3.80
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.25
Typical High
$10.96

Where Nevada 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.

Nevada· 22nd 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.