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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.

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

$3.63

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $2.82 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 5 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$3.63$2.82 to $4.37
FacilityA hospital or hospital-owned outpatient department$2.82$2.51 to $2.82

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $5Professionalmedian $4 · 10th to 90th $2 to $5
$1$2$5$10$20$50facility $3professional $4

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
$2.51
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

Where North Dakota 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.

North Dakota· 6th of 51

$3.63

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.