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

Montana 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 $7$140%20%10th90th$12Professionalmedian $10 · 10th–90th $5$510%10%10th90th$10$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
Professional
Modifier
Global
Typical Low
$3.24
Median
$9.55
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.59
Typical High
$12.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$22.91
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$22.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.96
Typical High
$14.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.57
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.01
Typical High
$6.76