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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Nevada 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.

Facilitymedian $4 · 10th–90th $2$40%50%10th$4Professionalmedian $3 · 10th–90th $1$60%10%10th90th$3$0.1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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
$1.38
Median
$3.80
Typical High
$21.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.57
Typical High
$3.16
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.37
Typical High
$8.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.57
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$1.95
Typical High
$2.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.69
Typical High
$5.37