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Ostomy Pouch, Drainable, Locking Flange, with Filter

Maryland 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?

$2.57

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $2.57 for this service. Most negotiated rates run $2.00 to $2.63.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $3 · 10th to 90th $2 to $3
$0.05$0.2$1$5facility $2professional $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
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.57
Typical High
$3.39
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.51
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.95
Typical High
$3.09
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.39

Where Maryland 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.

Maryland· 26th of 51

$2.57

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.