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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Nebraska 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?

$3.31

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.31 from a physician practice, and about $5.13 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$3.31$1.74 to $3.31
FacilityA hospital or hospital-owned outpatient department$5.13$3.24 to $6.76

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $79Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50facility $5professional $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
$4.17
Median
$4.17
Typical High
$4.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$3.31
Typical High
$4.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.47
Typical High
$4.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.79
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.16
Typical High
$5.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.62
Typical High
$10.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.08
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.51
Typical High
$5.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$13.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$12.59
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.02
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$2.40
Typical High
$3.89

Where Nebraska 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.

Nebraska· 27th of 51

$3.31

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.