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Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap

Montana rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap cost?

$12.02

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $12.88 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$9.12 to $12.88
FacilityA hospital or hospital-owned outpatient department$12.88$11.75 to $676

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $692Professionalmedian $12 · 10th to 90th $5 to $79
$5$10$20$50$100$200$500facility $13professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$10.00
Typical High
$15.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.77
Median
$12.02
Typical High
$12.02
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$14.79
Typical High
$691.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$12.88
Typical High
$724.44
Providence
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$12.02
Typical High
$12.02
Providence
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$12.02
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.90
Typical High
$8.13

Where Montana sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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.

Montana· 3rd of 51

$12.02

ID $12.30CT $5.75

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.