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

Massachusetts 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 $10 · 10th–90th $5$790%20%10th90th$10Professionalmedian $10 · 10th–90th $5$160%20%40%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$16.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.51
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$15.85
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$14.45
Tufts
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.01
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$9.77
Typical High
$10.47