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Ostomy Pouch, Drainable, Locking Flange, with Filter

Oregon 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 $3$40%50%10th90th$4Professionalmedian $3 · 10th–90th $1$40%10%10th90th$3$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
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.00
Typical High
$3.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$7.41
Typical High
$8.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.09
Typical High
$4.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.24
Typical High
$4.37
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.80
Typical High
$3.89
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.89
Typical High
$3.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.39
Typical High
$4.68
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.72
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.37
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.51
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.66
Typical High
$3.16