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Ostomy Pouch, Urinary, Extended Wear, Convexity, Faucet Tap

Nationwide rates for HCPCS A4430

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $5$260%20%10th90th$8Professionalmedian $8 · 10th–90th $5$130%20%40%10th90th$8$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$5.13
Median
$7.76
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$10.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.62
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.61
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$46.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$10.72