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

Tennessee 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?

$7.41

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $10.72 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$7.41$6.17 to $9.12
FacilityA hospital or hospital-owned outpatient department$10.72$6.92 to $79.43

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $85Professionalmedian $7 · 10th to 90th $5 to $10
$5$10$20$50$100facility $11professional $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
$6.17
Median
$6.92
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.59
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
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
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.50
Typical High
$6.92

Where Tennessee 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.

Tennessee· 35th of 51

$7.41

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.