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

North Dakota 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?

$11.22

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $8.71 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11.22$8.71 to $13.49
FacilityA hospital or hospital-owned outpatient department$8.71$8.71 to $8.71

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $26Professionalmedian $11 · 10th to 90th $5 to $14
$5$10$20$50facility $9professional $11

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$8.71
Typical High
$8.71
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$13.49
Typical High
$13.49
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$12.02
Median
$15.85
Typical High
$16.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.59
Median
$13.80
Typical High
$17.38
Medica
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$8.71
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$5.62
Typical High
$9.55
United
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$5.62
Typical High
$9.55

Where North Dakota 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.

North Dakota· 8th of 51

$11.22

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.