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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Alaska rates for HCPCS A4428

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

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$8.91

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $8.71 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.91$7.76 to $8.91
FacilityA hospital or hospital-owned outpatient department$8.71$5.89 to $8.91

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $9Professionalmedian $9 · 10th to 90th $5 to $9
$5$10$20$50facility $9professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$10.00
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8.71
Median
$8.91
Typical High
$8.91
Moda Health
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$8.91
Typical High
$12.59
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$8.91
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$8.91
Typical High
$9.12
Providence
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$5.89
Typical High
$12.30
Providence
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.89
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.57
Typical High
$21.38

Where Alaska sits

The same service costs 2.3 times more in Kansas than in Alabama. 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.

Alaska· 6th of 51

$8.91

KS $10.72AL $4.68

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.