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Ostomy Pouch, Drainable, with Barrier, with Filter

Arizona rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $2$130%10%10th90th$6Professionalmedian $4 · 10th–90th $2$70%10%20%10th90th$4$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
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.98
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$7.59
Typical High
$14.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.92
Typical High
$14.13
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
$3.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$5.25
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.82
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.63
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.82
Typical High
$4.27