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

Virginia 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 $7$200%20%10th90th$9Professionalmedian $7 · 10th–90th $6$110%20%10th90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$7.41
Median
$7.41
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.41
Typical High
$8.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$12.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
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
$6.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.02
Typical High
$16.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.51
Typical High
$12.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.71
Typical High
$14.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$7.41
Typical High
$7.94
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$40.74
Sentara
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$6.03
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.89
Typical High
$9.33