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Ostomy Pouch, Drainable, with Barrier, with Filter

Delaware rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $2$40%50%10th90th$4Professionalmedian $4 · 10th–90th $3$260%20%10th90th$4$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.02
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.47
Typical High
$5.01