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

New Hampshire 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?

$6.76

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $6.31 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$7.08$6.03 to $10.47
FacilityA hospital or hospital-owned outpatient department$6.31$6.31 to $7.59

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $8Professionalmedian $7 · 10th to 90th $5 to $10
$5$10$20facility $6professional $7

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
$6.31
Median
$6.31
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.31
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$4.57
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.76
Typical High
$10.47
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$17.38

Where New Hampshire 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.

New Hampshire· 46th of 51

$6.76

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.