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Ostomy Pouch, Drainable, with Barrier, with Filter

Florida rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$60%20%40%10th90th$5Professionalmedian $5 · 10th–90th $3$60%10%10th90th$5$0.1$0.2$1.0$5.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$4.79
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.79
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.07
Typical High
$4.07
AvMed
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.50
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.98
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$4.07
Typical High
$6.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.24
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.02
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.24
Typical High
$4.07
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$6.76