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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 October 2026.

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

$3.72

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $3.72 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $2.82 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.72$2.82 to $4.37
FacilityA hospital or hospital-owned outpatient department$2.82$2.82 to $2.88

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $9Professionalmedian $4 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $3professional $4

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
Facility
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.82
Typical High
$2.88
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$4.37
Typical High
$4.37
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$3.98
Median
$5.25
Typical High
$5.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
None
Typical Low
$1.91
Median
$2.82
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$1.55
Median
$1.82
Typical High
$3.16
United
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.82
Typical High
$3.16

Where North Dakota 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.

North Dakota· 9th of 51

$3.72

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.