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

Texas 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 $9 · 10th–90th $5$220%10%20%10th90th$9Professionalmedian $7 · 10th–90th $5$100%20%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$2.29
Median
$7.76
Typical High
$8.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.76
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.31
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.77
Typical High
$13.49
Christus
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$79.43
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$89.13
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.00
Typical High
$16.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$10.23
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.55
Typical High
$16.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.37
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.50
Typical High
$7.24
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$16.22