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Ostomy Pouch, Drainable, Locking Flange, with Filter

Utah rates for HCPCS A4427

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (two-piece system), each

Rates data updated October 2026.

How much does Ostomy Pouch, Drainable, Locking Flange, with Filter cost?

$2.14

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $2.14 for this service. The price depends on where it is billed: about $2.24 from a physician practice, and about $1.07 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.24$1.58 to $2.82
FacilityA hospital or hospital-owned outpatient department$1.07$1.07 to $2.34

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $4
$1$2$5$10$20$50facility $1professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.07
Median
$1.07
Typical High
$1.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.07
Typical High
$1.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.52
Median
$0.52
Typical High
$0.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.21
Median
$0.21
Typical High
$0.24
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.16
Median
$0.16
Typical High
$0.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.11
Median
$0.11
Typical High
$0.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.34
Median
$2.34
Typical High
$2.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.00
Typical High
$2.34
Molina
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Select Health
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Select Health
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$3.98
Typical High
$3.98
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$3.39
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$1.29
Median
$1.66
Typical High
$3.24

Where Utah sits

The same service costs 2.2 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 37th of 51

$2.14

KS $4.47DE $2.00

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.