go back

Ostomy Pouch, Drainable, Locking Flange, with Filter

Montana 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 $4 · 10th–90th $2$50%20%10th90th$4Professionalmedian $3 · 10th–90th $1$170%10%20%10th90th$3$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
$1.07
Median
$3.09
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$4.07
Typical High
$4.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$4.07
Typical High
$4.07
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.80
Typical High
$7.41
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.80
Typical High
$7.41
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.09
Typical High
$4.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.51
Typical High
$1.51
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.66
Typical High
$2.24