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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.

Facilitymedian $6 · 10th–90th $3$90%10%10th90th$6Professionalmedian $5 · 10th–90th $3$130%10%20%10th90th$5$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
$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