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Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap

Illinois rates for HCPCS A4429

Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $6$620%20%10th90th$12Professionalmedian $7 · 10th–90th $5$150%20%40%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0

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
$6.46
Median
$6.46
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$30.20
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$12.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$22.39
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.75
Typical High
$10.00