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Ostomy Pouch, Drainable, with Barrier, with Filter

Alaska rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$70%20%40%10th90th$2Professionalmedian $6 · 10th–90th $2$100%20%10th90th$6$2.0$5.0$10.0$20.0$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
Professional
Modifier
Global
Typical Low
$1.95
Median
$5.01
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$7.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.89
Typical High
$6.76
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.76
Typical High
$21.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.46
Typical High
$6.46
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.46
Typical High
$6.76
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$6.92
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.90
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.57
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.31
Typical High
$13.49