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

Iowa 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 $10 · 10th–90th $5$300%10%10th90th$10Professionalmedian $10 · 10th–90th $6$160%10%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$7.08
Median
$8.71
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$9.55
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$13.80
Typical High
$17.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$19.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.18
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$19.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.80
Typical High
$15.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$19.95
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$11.22
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.77
Typical High
$9.77