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Ostomy Pouch, Urinary, Extended Wear Barrier, Faucet Tap

West 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 October 2026.

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

$5.01

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $5.01 for this service. Most negotiated rates run $4.68 to $6.46.

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 $5 · 10th to 90th $5 to $13Professionalmedian $5 · 10th to 90th $5 to $10
$5$10$20$50facility $5professional $5

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
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.76
Median
$0.76
Typical High
$0.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.50
Median
$0.50
Typical High
$0.50
CareSource
Setting
Facility
Modifier
None
Typical Low
$5.89
Median
$5.89
Typical High
$6.31
CareSource
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$6.31
Typical High
$10.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$12.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$44.67
United
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$5.50
Typical High
$10.23

Where West Virginia 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.

West Virginia· 39th of 51

$5.01

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.