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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Arkansas 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 $398,107 · 10th–90th $7$933,2540%10%20%10th90th$398,107Professionalmedian $5 · 10th–90th $3$80%20%10th90th$5$2.0$20.0$200.0$2.0K$20.0K$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
$7.41
Median
$7.41
Typical High
$7.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$6.92
Typical High
$7.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.68
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.89
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.07
Typical High
$5.89