go back

Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Iowa 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 $8 · 10th–90th $4$230%10%10th90th$8Professionalmedian $7 · 10th–90th $4$130%10%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

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
$5.37
Median
$6.61
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.24
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$10.47
Typical High
$13.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$15.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.00
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.50
Typical High
$15.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.72
Typical High
$11.75
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$4.17
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.57
Typical High
$8.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.41
Typical High
$7.41