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

Washington, DC 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 $8$80%50%$8Professionalmedian $8 · 10th–90th $6$80%20%40%10th$8$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.94
Typical High
$7.94
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
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
$7.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.23
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$10.96