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

New Jersey 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$120%50%10th90th$6Professionalmedian $7 · 10th–90th $4$100%10%10th90th$7$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
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.89
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.96
Typical High
$15.85
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.76
Typical High
$12.02