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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Missouri 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 $8 · 10th–90th $4$190%20%10th90th$8Professionalmedian $5 · 10th–90th $4$110%20%10th90th$5$1.0$2.0$5.0$10.0$20.0$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
$3.89
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.89
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.79
Typical High
$8.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.76
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.57
Typical High
$7.08