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Ostomy Pouch, Urinary, Locking Flange

North Dakota 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?

$4.37

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $3.39 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 5 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$4.37$3.39 to $5.25
FacilityA hospital or hospital-owned outpatient department$3.39$3.02 to $3.39

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $6Professionalmedian $4 · 10th to 90th $2 to $6
$2$5$10$20$50facility $3professional $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
$3.02
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$3.02
Typical High
$17.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.13
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$5.25
Typical High
$6.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.98
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.19
Typical High
$4.68
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.88
Typical High
$5.50

Where North Dakota 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 Dakota· 6th of 51

$4.37

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.