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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Kansas 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 $10 · 10th–90th $3$110%20%10th90th$10Professionalmedian $11 · 10th–90th $5$110%50%10th$11$5.0$10.0$20.0$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
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$10.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.72
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$10.72
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
$10.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$6.46
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$9.33
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.37
Typical High
$6.46