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

Oregon 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 $9$120%50%10th90th$12Professionalmedian $9 · 10th–90th $4$130%10%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.17
Typical High
$9.55
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
$6.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$22.39
Typical High
$25.70
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.77
Typical High
$12.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.77
Typical High
$13.49
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$11.75
Typical High
$12.02
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$14.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$11.22
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$13.49
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.68
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.01
Typical High
$9.55