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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.

Facilitymedian $4 · 10th–90th $2$790%20%10th90th$4Professionalmedian $3 · 10th–90th $1$30%20%40%10th90th$3$0.1$0.2$1.0$5.0$20.0$100.0

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
$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