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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 July 2026.

Facilitymedian $8 · 10th–90th $4$850%20%40%10th90th$8Professionalmedian $6 · 10th–90th $4$80%20%10th90th$6$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
$4.68
Median
$5.37
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.75
Typical High
$7.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.17
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.27
Typical High
$5.37