go back

Ostomy Pouch, Drainable, Locking Flange, with Filter

South Carolina 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 $3 · 10th–90th $2$50%20%10th90th$3Professionalmedian $3 · 10th–90th $2$30%20%10th90th$3$0.1$0.2$1.0$5.0

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
$3.09
Median
$3.09
Typical High
$3.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.09
Typical High
$3.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.55
Typical High
$3.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.98
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$5.37
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.51
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.55
Typical High
$6.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.51
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$2.51