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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Indiana rates for HCPCS A4425

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

Rates data updated July 2026.

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

$2.82

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.82 from a physician practice, and about $4.27 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.82$2.51 to $3.80
FacilityA hospital or hospital-owned outpatient department$4.27$2.51 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $2 to $4
$2.0$5.0$10.0$20.0facility $4professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$3.09
Typical High
$4.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$4.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.63
Typical High
$5.01
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.46
Typical High
$7.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.02
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.95
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.40
Typical High
$3.55

Where Indiana sits

The same service costs 2.5 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $2.82 · 46th of 51
KS $6.03CO $2.45

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.