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Ostomy Pouch, Drainable, with Barrier, with Filter

Kentucky rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $2$90%20%10th90th$3Professionalmedian $3 · 10th–90th $3$60%20%10th90th$3$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
$3.39
Median
$3.39
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$5.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.55
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.91
Typical High
$11.75
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.32
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$9.12
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$9.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.24
Typical High
$4.17