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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

New Mexico 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?

$5.50

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $6.46 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$5.50$3.89 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.46$3.89 to $7.94

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $9Professionalmedian $5 · 10th to 90th $3 to $13
$5$10$20facility $6professional $5

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$6.46
Typical High
$39.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.24
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$13.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$6.92
Typical High
$10.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.89
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.89
Typical High
$5.75

Where New Mexico 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.

New Mexico· 44th of 51

$5.50

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.