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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Tennessee rates for HCPCS A4428

Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap cost?

$5.50

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $5.50 for this service. Most negotiated rates run $4.68 to $6.92.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $6Professionalmedian $5 · 10th to 90th $4 to $47
$5$10$20$50facility $5professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.62
Typical High
$7.94
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.34
Median
$2.82
Typical High
$3.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.93
Median
$1.12
Typical High
$1.58
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.71
Median
$0.83
Typical High
$1.20
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.47
Median
$0.56
Typical High
$0.79
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$69.18
Typical High
$69.18
United
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$4.27
Typical High
$5.25

Where Tennessee sits

The same service costs 2.3 times more in Kansas than in Alabama. 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.

Tennessee· 31st of 51

$5.50

KS $10.72AL $4.68

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.