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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

New Mexico 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?

$3.24

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $3.24 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $3.02 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.24$2.57 to $4.79
FacilityA hospital or hospital-owned outpatient department$3.02$1.38 to $3.55

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $4Professionalmedian $3 · 10th to 90th $2 to $7
$2$5$10facility $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
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$3.55
Typical High
$3.63
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$3.98
Typical High
$4.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$3.02
Molina
Setting
Professional
Modifier
None
Typical Low
$7.24
Median
$7.24
Typical High
$12.88
Providence
Setting
Facility
Modifier
None
Typical Low
$1.38
Median
$3.02
Typical High
$3.98
Providence
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$5.25
United
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$2.14
Typical High
$3.24

Where New Mexico 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 Mexico· 26th of 51

$3.24

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.