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

North Dakota 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 $9 · 10th–90th $8$150%50%10th90th$9Professionalmedian $11 · 10th–90th $5$140%20%10th90th$11$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
$7.59
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.59
Typical High
$45.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$13.18
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$13.80
Typical High
$17.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.23
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.24
Typical High
$13.80