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

Missouri 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$240%20%10th90th$10Professionalmedian $7 · 10th–90th $5$140%20%10th90th$7$1.0$2.0$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
$5.13
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.76
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$10.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$9.12