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

South Carolina 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 $10 · 10th–90th $5$160%20%10th90th$10Professionalmedian $10 · 10th–90th $5$100%20%10th90th$10$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
$9.55
Median
$9.55
Typical High
$9.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.55
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.96
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$16.22
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.96
Typical High
$19.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.68
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$7.59