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

Minnesota 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 $35 · 10th–90th $8$980%10%10th90th$35Professionalmedian $12 · 10th–90th $8$140%20%40%10th90th$12$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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.59
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$13.80
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$45.71
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.85
Typical High
$17.78
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$97.72
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$15.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$12.02
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.01
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.57
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$16.22