Assura AC pediatric drainable pouch
- Brand
- Coloplast
- Category
- Pouches
- System
- Not found in our sources
- Pouch type
- Drainable
- Barrier type
- Flat (from product name)
- Opening
- Not found in our sources
- Filter
- Yes
- Box quantity
- 10
- Flange sizes
- Coupling Orange, Coupling Purple
- HCPCS code(s)
- A4425 (Coloplast product page (variant name))
- Lowest cash price seen
- No sourced price yet
- Source
- products.coloplast.us · checked Nov 4, 2026
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Sizes, codes and prices
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| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
14681 | 5 1/2in long - Coupling: Orange - with filter Transparent | 10 per box | A4425 | — |
14682 | 6 1/2in long - Coupling: Purple - with filter | 10 per box | A4425 | — |
14691 | 5 1/2in long - Coupling: Orange - with filter, Graphic | 10 per box | A4425 | — |
14692 | 6 1/2in long - Coupling: Purple - with filter, Graphic | 10 per box | A4425 | — |
Medicare usual maximums for these codes
- A4425: Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each. Usual maximum in LCD L33828: 20 per month.
From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.