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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Nebraska 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 $9 · 10th–90th $4$790%10%20%10th90th$9Professionalmedian $6 · 10th–90th $3$80%20%40%10th90th$6$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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$6.03
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.71
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$10.47
Typical High
$19.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$9.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$24.55
Midlands
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$22.91
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$5.50
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.37
Typical High
$7.08