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Ostomy Pouch, Urinary, Extended Wear, Convexity, Faucet Tap

Massachusetts rates for HCPCS A4430

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

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Extended Wear, Convexity, Faucet Tap cost?

$10.47

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $9.77 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 9 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$10.47$5.75 to $10.47
FacilityA hospital or hospital-owned outpatient department$9.77$5.25 to $30.90

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $79Professionalmedian $10 · 10th to 90th $5 to $16
$10$100$1K$10Kfacility $10professional $10

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
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$16.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.51
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.85
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$14.45
Tufts
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.01
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$10.47

Where Massachusetts sits

The same service costs 2.0 times more in Minnesota 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.

Massachusetts· 8th of 51

$10.47

MN $12.02CO $5.89

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.