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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Rhode Island 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?

$2.63

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $2.63 for this service. Most negotiated rates run $2.04 to $3.02.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $12Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10facility $10professional $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
Professional
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$2.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.05
Median
$1.05
Typical High
$1.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.41
Median
$0.41
Typical High
$0.65
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.31
Median
$0.31
Typical High
$0.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.21
Median
$0.21
Typical High
$0.32
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$7.24
Median
$10.00
Typical High
$11.75
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$1.82
Median
$2.63
Typical High
$3.80
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
United
Setting
Professional
Modifier
None
Typical Low
$1.78
Median
$2.88
Typical High
$4.17

Where Rhode Island 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.

Rhode Island· 43rd of 51

$2.63

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.