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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Kansas 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.

Facilitymedian $5 · 10th–90th $1$70%20%10th90th$5Professionalmedian $6 · 10th–90th $2$60%50%10th$6$2.0$5.0$10.0$20.0$50.0

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
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.95
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.31
Typical High
$6.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$3.55
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.45
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$5.13
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.40
Typical High
$3.55