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Ostomy Pouch, Urinary, Locking Flange

North Carolina 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?

$3.63

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $4.07 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$3.63$3.31 to $4.07
FacilityA hospital or hospital-owned outpatient department$4.07$3.24 to $5.37

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $8Professionalmedian $4 · 10th to 90th $2 to $4
$2$5$10$20$50facility $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
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.07
Typical High
$4.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$6.31
Typical High
$6.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.63
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$3.02
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.34
Typical High
$3.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$4.17
Typical High
$6.92
United
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$3.02
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.24
Typical High
$3.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$35.48

Where North Carolina 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.

North Carolina· 16th of 51

$3.63

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.