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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Idaho 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?

$6.61

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $8.71 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 8 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$6.61$5.13 to $10.23
FacilityA hospital or hospital-owned outpatient department$8.71$6.31 to $9.33

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $13Professionalmedian $7 · 10th to 90th $3 to $12
$5$10$20facility $9professional $7

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
Professional
Modifier
Global
Typical Low
$2.69
Median
$6.17
Typical High
$12.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$8.51
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$6.46
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$8.91
Typical High
$12.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.91
Typical High
$9.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.77
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$10.23
Select Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$14.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.91
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.55
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.89
Typical High
$4.90

Where Idaho 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.

Idaho· 21st of 51

$6.61

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.