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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Minnesota 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 $27 · 10th–90th $6$740%10%10th90th$27Professionalmedian $9 · 10th–90th $6$100%20%40%10th90th$9$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
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$5.75
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$10.72
Typical High
$15.85
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.02
Typical High
$13.49
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$38.02
Typical High
$74.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$11.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$9.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.89
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.55
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$12.59