go back

Ostomy Pouch, Drainable, Locking Flange

Virginia rates for HCPCS A4426

Ostomy pouch, drainable; for use on barrier with locking flange (two-piece system), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, Locking Flange cost?

$2.34

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $2.34 for this service. The price depends on where it is billed: about $2.34 from a physician practice, and about $3.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.34$1.91 to $2.69
FacilityA hospital or hospital-owned outpatient department$3.02$2.51 to $3.89

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $2 to $4
$1$10$100$1K$10Kfacility $3professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.34
Typical High
$2.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$3.98
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.89
Typical High
$5.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.75
Typical High
$4.07
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$2.75
Typical High
$4.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.34
Typical High
$2.51
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.31
Typical High
$13.18
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.31
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.48
Typical High
$1.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.91
Typical High
$3.02

Where Virginia sits

The same service costs 2.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 37th of 51

$2.34

KS $4.47CO $1.91

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.