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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Florida 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?

$4.68

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $5.50 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.68$4.47 to $6.61
FacilityA hospital or hospital-owned outpatient department$5.50$5.50 to $5.50

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $6Professionalmedian $5 · 10th to 90th $4 to $9
$5$10$20$50facility $5professional $5

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$6.61
Typical High
$6.92
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$6.61
Typical High
$6.92
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.04
Median
$3.31
Typical High
$3.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.81
Median
$1.32
Typical High
$1.38
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.62
Median
$1.00
Typical High
$1.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.41
Median
$0.66
Typical High
$0.69
Ambetter
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
AvMed
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$7.41
Typical High
$9.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$9.33
Typical High
$9.33
Molina
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$4.47
Typical High
$4.90
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$4.57
Typical High
$34.67
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$9.33

Where Florida 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.

Florida· 46th of 51

$4.68

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.