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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 July 2026.

Facilitymedian $7 · 10th–90th $4$80%20%40%10th90th$7Professionalmedian $7 · 10th–90th $4$80%10%20%10th90th$7$0.1$0.5$2.0$10.0$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
Facility
Modifier
Global
Typical Low
$4.07
Median
$6.61
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.61
Typical High
$7.94
AvMed
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.59
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$5.62
Typical High
$9.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.47
Typical High
$14.45
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$4.17
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.47
Typical High
$5.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$9.33