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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

North Carolina 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?

$3.80

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $4.37 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$3.80$3.39 to $4.37
FacilityA hospital or hospital-owned outpatient department$4.37$3.39 to $5.50

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $9Professionalmedian $4 · 10th to 90th $2 to $4
$2$5$10$20$50facility $4professional $4

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
$4.37
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.37
Typical High
$4.37
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.88
Typical High
$3.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.07
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
$3.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.51
Typical High
$3.55
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$4.37
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$3.24
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.40
Typical High
$3.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$37.15

Where North Carolina 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.

North Carolina· 17th of 51

$3.80

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.