go back

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

Montana 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 October 2026.

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

$12.59

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $13.18 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.59$9.33 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.18$12.02 to $692

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $708Professionalmedian $13 · 10th to 90th $5 to $79
$5$10$20$50$100$200$500facility $13professional $13

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
$3.24
Median
$10.23
Typical High
$16.22
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$10.96
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.59
Typical High
$12.59
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$15.14
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$13.49
Typical High
$741.31
Providence
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$12.59
Typical High
$12.59
Providence
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$12.59
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$5.01
Typical High
$8.32

Where Montana sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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· 2nd of 51

$12.59

HI $12.59DE $6.03

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.