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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 July 2026.

Facilitymedian $6 · 10th–90th $4$170%20%10th90th$6Professionalmedian $6 · 10th–90th $3$70%20%10th90th$6$0.1$0.5$2.0$10.0

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
$5.25
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.03
Typical High
$7.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.49
Typical High
$19.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$8.71
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.55
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$5.50