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Ostomy Pouch, Drainable, with Barrier, with Filter

Tennessee rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$850%20%40%10th90th$6Professionalmedian $4 · 10th–90th $3$60%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
$3.47
Median
$3.89
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.17
Typical High
$5.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$6.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.09
Typical High
$3.89