go back

Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Washington, DC rates for HCPCS A4425

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

Rates data updated October 2026.

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

$3.39

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $3.39 for this service. Most negotiated rates run $2.69 to $3.47.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $3 · 10th to 90th $2 to $5
$2$5facility $3professional $3

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
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$3.39
Typical High
$4.37
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.23
Median
$1.70
Typical High
$2.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.49
Median
$0.68
Typical High
$0.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.36
Median
$0.51
Typical High
$0.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.24
Median
$0.34
Typical High
$0.36
CareFirst
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$3.02
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.37
Typical High
$10.00
United
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$2.69
Typical High
$5.13

Where Washington, DC sits

The same service costs 2.3 times more in Kansas than in Connecticut. 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.

Washington, DC· 22nd of 51

$3.39

KS $6.03CT $2.57

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.