go back

Ostomy Pouch, Drainable, with Barrier, with Filter

Oklahoma rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$60%50%10th$6Professionalmedian $4 · 10th–90th $2$60%10%20%10th90th$4$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
$3.89
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.89
Typical High
$3.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.68
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.79
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.16
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.16
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.82
Typical High
$4.07