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

Illinois 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.

How much does Ostomy Pouch, Urinary, Extended Wear, Convexity, Faucet Tap cost?

$7.94

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $12.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.94$6.61 to $10.00
FacilityA hospital or hospital-owned outpatient department$12.02$6.61 to $31.62

How much rates vary

Facilitymedian $12 · 10th to 90th $7 to $68Professionalmedian $8 · 10th to 90th $6 to $13
$5$10$20$50$100facility $12professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.41
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$32.36
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$13.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.45
Typical High
$25.12
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$12.02
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.89
Typical High
$10.47

Where Illinois sits

The same service costs 2.0 times more in Minnesota than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 27th of 51

$7.94

MN $12.02CO $5.89

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.