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Ostomy Pouch, Drainable, with Barrier, with Filter

Washington 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$130%20%10th90th$6Professionalmedian $5 · 10th–90th $3$120%10%10th90th$5$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
$3.80
Median
$3.80
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.80
Typical High
$28.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.98
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.41
Typical High
$14.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.51
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.13
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$6.61
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.61
Typical High
$7.94
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$10.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$6.46
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.75
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.69
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.02
Typical High
$5.37
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.75
Typical High
$10.23