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

Nebraska 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 $5$790%10%20%10th90th$12Professionalmedian $8 · 10th–90th $4$100%20%40%10th90th$8$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
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$9.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$13.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$13.80
Typical High
$25.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$16.60
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$12.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$32.36
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$29.51
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$7.24
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.75
Typical High
$9.33