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

Minnesota 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?

$12.02

Typical negotiated rate. In Minnesota, July 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 $35.48 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$12.02$9.77 to $12.02
FacilityA hospital or hospital-owned outpatient department$35.48$13.18 to $52.48

How much rates vary

Facilitymedian $35 · 10th to 90th $8 to $98Professionalmedian $12 · 10th to 90th $8 to $14
$5$10$20$50$100facility $35professional $12

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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.59
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.85
Typical High
$17.78
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$97.72
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$15.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$12.02
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.01
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$16.22

Where Minnesota 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.

Minnesota· 1st of 51

$12.02

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.