go back

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 July 2026.

Facilitymedian $3 · 10th–90th $3$90%20%40%10th90th$3Professionalmedian $8 · 10th–90th $3$140%20%10th90th$8$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$2.69
Median
$6.92
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$10.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$5.25
Typical High
$9.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$30.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.91
Typical High
$8.91
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.91
Typical High
$9.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$9.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.76
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.55
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.57
Typical High
$18.62