go back

Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

New Jersey rates for HCPCS A4425

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

Rates data updated October 2026.

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

$2.57

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2.57 for this service. Most negotiated rates run $2.45 to $3.31.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $3
$2$5facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.74
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.74
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.87
Median
$1.23
Typical High
$1.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.35
Median
$0.49
Typical High
$0.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.26
Median
$0.37
Typical High
$0.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.17
Median
$0.24
Typical High
$0.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$3.02
Typical High
$3.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$3.02
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.82
Median
$6.17
Typical High
$6.61
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
United
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$2.63
Typical High
$5.01

Where New Jersey sits

The same service costs 2.3 times more in Kansas than in Connecticut. 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.

New Jersey· 48th of 51

$2.57

KS $6.03CT $2.57

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.