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

Utah 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?

$6.61

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $3.24 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.08$4.79 to $8.71
FacilityA hospital or hospital-owned outpatient department$3.24$3.24 to $7.08

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $7 · 10th to 90th $3 to $11
$5$10$20$50facility $3professional $7

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
$3.24
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.62
Median
$1.62
Typical High
$1.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.65
Median
$0.65
Typical High
$0.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.49
Median
$0.49
Typical High
$0.56
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.33
Median
$0.33
Typical High
$0.37
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
Molina
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Select Health
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Select Health
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$12.02
Typical High
$12.02
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.00
Typical High
$14.45
United
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$5.01
Typical High
$9.77

Where Utah 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.

Utah· 38th of 51

$6.61

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.