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Ostomy Pouch, Drainable, Locking Flange, with Filter

New Hampshire 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 $2 · 10th–90th $2$20%50%10th90th$2Professionalmedian $2 · 10th–90th $2$30%20%10th90th$2$1.0$2.0$5.0$10.0

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
$2.04
Median
$2.04
Typical High
$2.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.04
Typical High
$2.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$3.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$1.51
Typical High
$1.62
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.24
Typical High
$3.39
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$17.38