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Ostomy Pouch, Drainable, Locking Flange, with Filter

Virginia 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$60%20%10th90th$3Professionalmedian $2 · 10th–90th $2$40%20%10th90th$2$0.1$0.5$5.0$50.0$500.0$5.0K

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
$2.40
Median
$2.40
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.40
Typical High
$2.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$4.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.75
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
$2.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.98
Typical High
$5.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.75
Typical High
$4.17
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.82
Typical High
$4.79
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.40
Typical High
$2.57
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.39
Typical High
$13.49
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.39
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.51
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.95
Typical High
$3.09