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Ostomy Pouch, Drainable, with Barrier, with Filter

Iowa rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$170%10%10th90th$6Professionalmedian $5 · 10th–90th $3$90%10%10th90th$5$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.98
Median
$4.79
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.37
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.94
Typical High
$9.77
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.76
Typical High
$9.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.07
Typical High
$11.22
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.76
Typical High
$8.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$11.22
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.31
Typical High
$6.31
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$5.37