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

New Mexico 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 $8 · 10th–90th $3$120%10%10th90th$8Professionalmedian $8 · 10th–90th $3$130%10%20%10th90th$8$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
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$8.51
Typical High
$51.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.55
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$12.02
Typical High
$20.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$8.71
Typical High
$13.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$7.59