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Ostomy Pouch, Drainable, with Barrier, with Filter

Kansas rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $2$80%20%10th90th$7Professionalmedian $7 · 10th–90th $3$70%50%10th$7$2.0$5.0$10.0$20.0$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
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$7.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$4.79
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.31
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$6.76
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.16
Typical High
$4.79