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Ostomy Pouch, Urinary, Locking Flange

Massachusetts rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Locking Flange cost?

$4.07

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $3.89 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 8 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$4.07$2.29 to $4.07
FacilityA hospital or hospital-owned outpatient department$3.89$2.04 to $12.30

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $79Professionalmedian $4 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $4professional $4

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
$2.04
Median
$2.04
Typical High
$2.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$6.46
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.57
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.89
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$3.31
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$6.17
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.57
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.89
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$2.00
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$3.89
Typical High
$4.17

Where Massachusetts sits

The same service costs 2.3 times more in Kansas 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.

Massachusetts· 9th of 51

$4.07

KS $5.50CO $2.34

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.