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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Oklahoma 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 $8 · 10th–90th $5$80%50%10th$8Professionalmedian $5 · 10th–90th $3$80%20%10th90th$5$2.0$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
$5.37
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$5.37
Typical High
$5.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.50
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$6.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.46
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$4.37
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.89
Typical High
$5.50