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Ostomy Pouch, Urinary, Barrier with Convexity, Faucet Tap

Utah 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 $3 · 10th–90th $3$80%50%90th$3Professionalmedian $8 · 10th–90th $3$500%10%10th90th$8$0.1$0.5$2.0$10.0$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
$3.16
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$7.41
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.51
Typical High
$11.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.32
Typical High
$12.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$11.75
Typical High
$11.75
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$11.75
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.47
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$7.41