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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Washington, DC 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?

$6.17

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $6.17 for this service. Most negotiated rates run $4.90 to $6.31.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6 · 10th to 90th $6 to $6Professionalmedian $6 · 10th to 90th $4 to $8
$5$10facility $6professional $6

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
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$6.17
Typical High
$7.94
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.19
Median
$3.09
Typical High
$3.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.87
Median
$1.23
Typical High
$1.32
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.66
Median
$0.91
Typical High
$1.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.44
Median
$0.62
Typical High
$0.79
CareFirst
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$7.41
Median
$7.94
Typical High
$18.20
United
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$4.90
Typical High
$9.33

Where Washington, DC 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.

Washington, DC· 24th of 51

$6.17

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.