go back

Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Louisiana rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$5.89

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $12.30 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.50$4.57 to $6.61
FacilityA hospital or hospital-owned outpatient department$12.30$7.24 to $15.49

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $4 to $7
$5$10$20facility $12professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$6.46
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.25
Median
$6.46
Typical High
$7.24
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.63
Median
$3.24
Typical High
$3.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.05
Median
$1.29
Typical High
$1.45
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.78
Median
$0.95
Typical High
$1.07
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.52
Median
$0.65
Typical High
$0.72
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$13.80
Typical High
$19.50
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
United
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$4.27
Typical High
$5.50

Where Louisiana sits

The same service costs 2.3 times more in Kansas than in Alabama. 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.

Louisiana· 25th of 51

$5.89

KS $10.72AL $4.68

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.