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Ostomy Pouch, Urinary, Locking Flange

Michigan 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?

$3.55

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3.55 for this service. The price depends on where it is billed: about $3.55 from a physician practice, and about $5.50 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 7 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$3.55$2.34 to $4.68
FacilityA hospital or hospital-owned outpatient department$5.50$3.55 to $14.13

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $21Professionalmedian $4 · 10th to 90th $2 to $5
$0.1$1$10facility $5professional $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
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.95
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$14.13
Typical High
$26.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.31
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.50
Typical High
$9.77
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.80
Typical High
$5.89
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.82
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.19
Typical High
$3.31

Where Michigan 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.

Michigan· 18th of 51

$3.55

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.