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Ostomy Pouch, Drainable, with Barrier, with Filter

Louisiana 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$130%20%10th90th$5Professionalmedian $4 · 10th–90th $2$50%20%10th90th$4$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
$3.80
Median
$4.68
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.00
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$2.57
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.09
Typical High
$4.07