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

North Carolina 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 North Carolina, 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 $10.47 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$9.12$7.94 to $10.47
FacilityA hospital or hospital-owned outpatient department$10.47$8.13 to $13.49

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $20Professionalmedian $9 · 10th to 90th $6 to $10
$5$10$20$50facility $10professional $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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.03
Typical High
$8.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$10.47
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$7.59
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.75
Typical High
$8.32
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$89.13

Where North Carolina 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.

North Carolina· 17th 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.