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

Florida 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 $9 · 10th–90th $5$100%20%40%10th90th$9Professionalmedian $9 · 10th–90th $5$100%10%10th90th$9$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
$5.37
Median
$8.71
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.71
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
AvMed
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.00
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$7.24
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$7.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$12.02