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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Montana 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?

$7.76

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $8.91 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$7.76$4.27 to $8.91
FacilityA hospital or hospital-owned outpatient department$8.91$6.92 to $9.55

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $11Professionalmedian $8 · 10th to 90th $3 to $40
$5$10$20$50facility $9professional $8

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
Professional
Modifier
Global
Typical Low
$2.51
Median
$7.24
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$9.55
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.55
Typical High
$9.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$17.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$17.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$8.51
Typical High
$10.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.55
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.89
Typical High
$5.25

Where Montana 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.

Montana· 10th of 51

$7.76

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.