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

New Hampshire 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 $6 · 10th–90th $5$80%50%10th90th$6Professionalmedian $7 · 10th–90th $5$100%20%10th90th$7$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
$6.31
Median
$6.31
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.31
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$4.57
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.76
Typical High
$10.47
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$17.38