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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

Vermont 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?

$5.62

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $5.62 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $6Professionalmedian $6 · 10th to 90th $5 to $8
$5$10$20facility $6professional $6

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$8.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.75
Typical High
$5.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$5.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$8.91
United
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$6.92
Typical High
$18.20

Where Vermont 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.

Vermont· 27th of 51

$5.62

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.