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Ostomy Pouch, Drainable, with Barrier, with Filter

Idaho 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$100%20%10th90th$6Professionalmedian $5 · 10th–90th $2$90%10%20%10th90th$5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.47
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$7.41
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
$4.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$6.46
Typical High
$9.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$6.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$7.41
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$10.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.46
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.57
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.82
Typical High
$3.55