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Ostomy Pouch, Drainable, Locking Flange, with Filter

Alaska rates for HCPCS A4427

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$40%20%40%10th90th$1Professionalmedian $4 · 10th–90th $1$60%20%10th90th$4$1.0$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
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.95
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$4.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$2.75
Typical High
$3.98
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$12.88
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.80
Typical High
$3.80
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.80
Typical High
$3.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$4.07
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.88
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.51
Typical High
$1.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.95
Typical High
$7.94