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

Washington 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 $7$230%20%10th90th$12Professionalmedian $10 · 10th–90th $5$200%10%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
$6.76
Median
$6.76
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.76
Typical High
$51.29
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.59
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$13.18
Typical High
$25.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$15.14
Typical High
$24.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$60.26
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
$10.00
Median
$12.02
Typical High
$12.02
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$10.47
Typical High
$19.05
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$11.75
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$10.23
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.01
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.50
Typical High
$9.77
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$10.23
Typical High
$18.20