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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 October 2026.

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

$7.08

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $7.08 for this service. Most negotiated rates run $6.03 to $9.12.

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.

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $8Professionalmedian $7 · 10th to 90th $5 to $60
$5$10$20$50$100facility $7professional $7

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
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$7.41
Typical High
$10.47
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.09
Median
$3.63
Typical High
$5.25
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.23
Median
$1.48
Typical High
$2.09
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.91
Median
$1.10
Typical High
$1.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.62
Median
$0.72
Typical High
$1.05
Ambetter
Setting
Professional
Modifier
None
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$5.50
Typical High
$6.76

Where Tennessee 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.

Tennessee· 34th of 51

$7.08

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.