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

Kentucky 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 $6 · 10th–90th $5$170%20%10th90th$6Professionalmedian $6 · 10th–90th $5$100%20%10th90th$6$0.1$0.5$2.0$10.0$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
$6.17
Median
$6.17
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.41
Typical High
$10.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.46
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$16.22
Typical High
$20.89
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$19.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$16.60
Typical High
$16.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.32
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$7.41