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

Idaho 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 $11 · 10th–90th $5$170%20%10th90th$11Professionalmedian $9 · 10th–90th $3$160%10%20%10th90th$9$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.94
Typical High
$16.22
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$11.22
Typical High
$19.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.32
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$11.48
Typical High
$16.22
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$11.48
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$13.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$18.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.48
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.68
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$6.46