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Ostomy Pouch, Drainable, Locking Flange, with Filter

South Dakota 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$50%10%20%10th90th$4Professionalmedian $3 · 10th–90th $3$60%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.69
Typical High
$5.25
Avera
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$4.27
Typical High
$7.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.45
Typical High
$19.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$4.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$6.92
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.82
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.57
Typical High
$4.57
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16