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Ostomy Pouch, Drainable, Locking Flange, with Filter

Wisconsin 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$70%50%10th90th$4Professionalmedian $4 · 10th–90th $2$70%10%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0$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
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.39
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$12.30
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$5.75
Typical High
$7.59
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.39
Typical High
$5.62
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.03
Typical High
$7.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.89
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.95
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.47
Typical High
$7.76
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.39
Typical High
$5.62
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.03
Typical High
$10.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$8.13
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$5.89
Typical High
$19.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.95
Typical High
$3.31