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

Indiana 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 $8 · 10th–90th $5$110%20%10th90th$8Professionalmedian $7 · 10th–90th $5$100%10%20%10th90th$7$5.0$10.0$20.0$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
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.59
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$11.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$12.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$17.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.68
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.62
Typical High
$8.51