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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 October 2026.

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

$7.59

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $26.30 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.24$5.89 to $9.12
FacilityA hospital or hospital-owned outpatient department$26.30$12.30 to $58.88

How much rates vary

Facilitymedian $26 · 10th to 90th $7 to $98Professionalmedian $7 · 10th to 90th $5 to $14
$5$10$20$50$100facility $26professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$6.61
Typical High
$12.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.61
Typical High
$10.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.75
Median
$3.31
Typical High
$5.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.12
Median
$1.35
Typical High
$2.04
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.83
Median
$1.00
Typical High
$1.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.56
Median
$0.68
Typical High
$1.02
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$32.36
Typical High
$104.71
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$9.12
Typical High
$9.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$8.32
Hally Health
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$12.88
Typical High
$20.42
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Molina
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
United
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.89
Typical High
$13.80

Where Illinois sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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· 28th of 51

$7.59

HI $12.59DE $6.03

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.