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Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap

New York 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?

$5.75

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $6.61 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 9 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$5.75$4.37 to $8.51
FacilityA hospital or hospital-owned outpatient department$6.61$5.37 to $8.13

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $12Professionalmedian $6 · 10th to 90th $4 to $12
$10$100$1K$10Kfacility $7professional $6

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
$3.80
Median
$5.37
Typical High
$10.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$8.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.41
Typical High
$12.02
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.24
Typical High
$7.24
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$6.17
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$14.45
Typical High
$33.88
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$8.91
Typical High
$16.60
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.92
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.61
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.51
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.72
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$5.75
Typical High
$15.14
Univera
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.31
Typical High
$6.92
Univera
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.61

Where New York 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 York· 28th of 51

$5.75

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.