HCPCS Code: A4425
Ostomy Pouch with Drain for Barrier Attachment (A4425)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$4.00) after the $283 annual deductible. Your 20% coinsurance: ~$1.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Ostomy Pouch with Drain for Barrier Attachment (A4425)
HCPCS code A4425 is the Medicare and insurance billing code for Ostomy Pouch with Drain for Barrier Attachment (A4425). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Durable medical equipment (DME) includes a wide range of devices and supplies prescribed by healthcare providers for use in the home. These items are covered by Medicare and most insurance plans under specific HCPCS billing codes, but out-of-pocket costs can vary significantly between providers.
Many patients find that purchasing DME items like ostomy pouch with drain for barrier attachment (a4425) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code A4425?
HCPCS code A4425 is the Medicare and insurance billing code for Ostomy Pouch with Drain for Barrier Attachment (A4425). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Ostomy Pouch with Drain for Barrier Attachment (A4425) cost?
The typical private insurance price for Ostomy Pouch with Drain for Barrier Attachment (A4425) is $10.00. If paying cash without insurance, expect to pay around $18.00. The estimated Medicare Allowed Amount is $5.00. The same or equivalent product is available on Amazon for approximately $5.40.
How much does Medicare pay for Ostomy Pouch with Drain for Barrier Attachment (A4425)?
The estimated Medicare Allowed Amount for Ostomy Pouch with Drain for Barrier Attachment (A4425) is $5.00. Under Original Medicare Part B, Medicare covers 80% (approximately $4.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $1.00. Medicare Advantage plan costs vary.
Can I buy Ostomy Pouch with Drain for Barrier Attachment (A4425) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code A4425 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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Search EquipmentPrices are estimates and may vary. We earn commissions as an Amazon Associate and through Medicare insurance referrals. Actual prices may vary based on inventory and promotions.