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Ostomy Pouch, Drainable, Locking Flange, with Filter

Iowa 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.

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

$3.09

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3.09 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $3.24 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 7 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$3.09$2.34 to $3.39
FacilityA hospital or hospital-owned outpatient department$3.24$2.51 to $4.27

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $10Professionalmedian $3 · 10th to 90th $2 to $5
$1$2$5$10$20$50facility $3professional $3

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
$2.82
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.09
Typical High
$3.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.47
Typical High
$5.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.98
Typical High
$7.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$4.27
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.34
Typical High
$5.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.57
Typical High
$5.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$6.46
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.95
Typical High
$3.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$3.16

Where Iowa 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.

Iowa· 15th of 51

$3.09

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.