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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Kentucky 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 $5 · 10th–90th $3$130%20%10th90th$5Professionalmedian $5 · 10th–90th $4$80%20%40%10th90th$5$0.1$0.5$2.0$10.0$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
$4.68
Median
$4.68
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$7.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$12.30
Typical High
$15.85
CareSource
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.46
Typical High
$44.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.55
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.47
Typical High
$5.62