go back

Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $4.17 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 7 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$2.75$2.51 to $4.07
FacilityA hospital or hospital-owned outpatient department$4.17$2.69 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $10Professionalmedian $3 · 10th to 90th $2 to $6
$2$5$10$20$50facility $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
$2.14
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.02
Typical High
$21.88
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.55
Typical High
$5.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.63
Typical High
$4.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$3.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$4.27
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.51
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.24
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.51
Typical High
$3.80

Where Missouri sits

The same service costs 2.5 times more in Kansas than in Colorado. 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.

Missouri· 45th of 51

$2.82

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.