go back

Ostomy Pouch, Drainable, with Barrier, with Filter

Minnesota rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $4$550%10%20%10th90th$20Professionalmedian $7 · 10th–90th $4$80%20%40%10th90th$7$0.1$0.5$2.0$10.0$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
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.27
Typical High
$5.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$25.70
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$8.91
Typical High
$10.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$28.18
Typical High
$54.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$6.61
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.82
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.57
Typical High
$3.02
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.31
Typical High
$9.12