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Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

West Virginia 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?

$3.09

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $3.09 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $2.75 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 5 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$3.09$2.75 to $3.24
FacilityA hospital or hospital-owned outpatient department$2.75$2.75 to $3.02

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $3 · 10th to 90th $3 to $3
$2$5$10$20facility $3professional $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. 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
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.09
Typical High
$3.39
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$5.01
Typical High
$7.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$6.03
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$24.55
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.95
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.88
Typical High
$4.27

Where West Virginia 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.

West Virginia· 38th of 51

$3.09

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.