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Ostomy Pouch, Drainable, Locking Flange, with Filter

North Dakota 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 $3 · 10th–90th $3$50%50%10th90th$3Professionalmedian $4 · 10th–90th $2$50%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
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.51
Typical High
$14.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.27
Typical High
$4.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.31
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.82
Typical High
$3.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
United
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.40
Typical High
$4.57