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

Michigan 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?

$9.12

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $12.30 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 7 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$9.12$6.03 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.30$9.12 to $35.48

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $54Professionalmedian $9 · 10th to 90th $5 to $12
$0.1$1$10$100facility $12professional $9

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
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$7.59
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$35.48
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.32
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.33
Typical High
$25.12
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$14.45
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$8.51

Where Michigan 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.

Michigan· 16th of 51

$9.12

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.