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

Michigan 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 $12 · 10th–90th $6$540%20%10th90th$12Professionalmedian $9 · 10th–90th $5$120%10%20%10th90th$9$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
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$7.59
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$35.48
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.30
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$8.32
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.33
Typical High
$25.12
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$14.45
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$8.51