go back

Ostomy Pouch, Drainable, Locking Flange, with Filter

Nebraska 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?

$2.57

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $3.98 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 6 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$2.57$1.35 to $2.57
FacilityA hospital or hospital-owned outpatient department$3.98$2.51 to $5.37

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $79Professionalmedian $3 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $4professional $3

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
$3.24
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$2.57
Typical High
$3.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.51
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$4.47
Typical High
$8.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.50
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.95
Typical High
$3.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$10.47
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.77
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$2.34
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$3.02

Where Nebraska 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.

Nebraska· 29th of 51

$2.57

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.