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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $9.33 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$6.03$5.13 to $7.59
FacilityA hospital or hospital-owned outpatient department$9.33$5.13 to $23.99

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $52Professionalmedian $6 · 10th to 90th $4 to $10
$5$10$20$50$100facility $9professional $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
$5.13
Median
$5.13
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.62
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$24.55
Typical High
$79.43
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$10.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$19.50
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$7.94

Where Illinois 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.

Illinois· 26th 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.