go back

Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Georgia 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.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$6.17

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $5.75 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.31$5.13 to $7.59
FacilityA hospital or hospital-owned outpatient department$5.75$4.27 to $5.75

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $6Professionalmedian $6 · 10th to 90th $5 to $9
$0.1$0.5$2$10facility $6professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$7.94
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.59
Typical High
$11.75
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$11.22
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.33
Typical High
$14.79
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.63
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.37
Typical High
$8.91

Where Georgia sits

The same service costs 2.3 times more in Kansas than in Colorado. 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.

Georgia· 27th of 51

$6.17

KS $10.72CO $4.57

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.