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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 October 2026.

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

$2.40

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $2.40 for this service. Most negotiated rates run $1.95 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 7 insurance carriers under federal price transparency rules.

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.40
Typical High
$2.63
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.95
Median
$1.23
Typical High
$1.32
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.38
Median
$0.49
Typical High
$0.52
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.28
Median
$0.37
Typical High
$0.39
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.19
Median
$0.25
Typical High
$0.26
CareFirst
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.34
Median
$2.34
Typical High
$2.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.00
Typical High
$2.34
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$3.98
Typical High
$6.03
United
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$1.95
Typical High
$2.95
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$3.39

Where Maryland sits

The same service costs 2.2 times more in Kansas than in Delaware. 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· 30th of 51

$2.40

KS $4.47DE $2.00

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.