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Ostomy Pouch, Drainable, with Barrier, with Filter

Virginia rates for HCPCS A4424

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$110%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%20%40%10th90th$4$0.1$0.5$5.0$50.0$500.0$5.0K

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
$4.07
Median
$4.07
Typical High
$4.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$5.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$6.92
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$6.76
Typical High
$9.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.79
Typical High
$7.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.79
Typical High
$8.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.07
Typical High
$4.47
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$22.91
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.57
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.31
Typical High
$5.25