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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

New York 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?

$6.03

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $6.03 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $6.92 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 9 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$6.03$4.79 to $7.59
FacilityA hospital or hospital-owned outpatient department$6.92$5.62 to $8.71

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $13Professionalmedian $6 · 10th to 90th $4 to $13
$10$100$1K$10Kfacility $7professional $6

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
$3.98
Median
$5.62
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.62
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$12.88
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$7.59
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$6.46
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.49
Typical High
$35.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.33
Typical High
$17.78
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.92
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$8.91
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$6.03
Typical High
$15.49
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.61
Typical High
$7.24
Univera
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.92

Where New York 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 York· 29th of 51

$6.03

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.