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Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap

New Mexico rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap cost?

$5.25

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $6.03 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.25$3.72 to $6.31
FacilityA hospital or hospital-owned outpatient department$6.03$3.63 to $7.59

How much rates vary

Facilitymedian $6 · 10th to 90th $2 to $9Professionalmedian $5 · 10th to 90th $3 to $14
$5$10$20facility $6professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$6.17
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$10.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$15.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$6.31
Typical High
$9.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$9.12
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.72
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.72
Typical High
$5.50

Where New Mexico sits

The same service costs 2.2 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 42nd of 51

$5.25

KS $9.55CO $4.37

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.