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Ostomy Pouch, Urinary, Locking Flange

Virginia 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?

$2.88

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2.88 for this service. The price depends on where it is billed: about $2.88 from a physician practice, and about $3.63 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$2.88$2.34 to $3.31
FacilityA hospital or hospital-owned outpatient department$3.63$3.09 to $4.79

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $8Professionalmedian $3 · 10th to 90th $2 to $4
$10$100$1K$10Kfacility $4professional $3

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
$2.88
Median
$2.88
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.88
Typical High
$3.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$4.90
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.79
Typical High
$6.76
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.31
Typical High
$5.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$3.39
Typical High
$5.75
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.88
Typical High
$3.09
Sentara
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.07
Typical High
$16.22
Sentara
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.07
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$1.82
Typical High
$2.40
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.34
Typical High
$3.72

Where Virginia 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.

Virginia· 40th of 51

$2.88

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.