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

Alaska 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 $4 · 10th–90th $3$120%20%40%10th90th$4Professionalmedian $11 · 10th–90th $3$180%20%10th90th$11$5.0$10.0$20.0$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
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.12
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$13.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$8.51
Typical High
$12.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$38.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$11.75
Typical High
$11.75
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$11.75
Typical High
$12.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$12.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.91
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.57
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$24.55