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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Nationwide rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$200%20%10th90th$6Professionalmedian $6 · 10th–90th $4$100%20%40%10th90th$6$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$8.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.01
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$4.07
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$8.32