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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Virginia 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 $7 · 10th–90th $5$140%20%10th90th$7Professionalmedian $6 · 10th–90th $4$90%20%10th90th$6$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$5.62
Median
$5.62
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$6.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$9.55
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.33
Typical High
$12.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.46
Typical High
$9.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$6.61
Typical High
$10.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.62
Typical High
$6.03
Sentara
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$8.32
Typical High
$26.92
Sentara
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.32
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.55
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$7.08