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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.

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

$9.12

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $26.92 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9.12$7.59 to $9.12
FacilityA hospital or hospital-owned outpatient department$26.92$10.00 to $38.90

How much rates vary

Facilitymedian $27 · 10th to 90th $6 to $74Professionalmedian $9 · 10th to 90th $6 to $10
$5$10$20$50$100facility $27professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Minnesota sits

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

Minnesota· 4th of 51

$9.12

KS $10.72CO $4.57

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.