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Ostomy Pouch, Drainable, High Output, Two-Piece, No Filter

Alaska rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Two-Piece, No Filter cost?

$3.24

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $3.24 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $1.26 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 6 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$3.47$1.66 to $3.72
FacilityA hospital or hospital-owned outpatient department$1.26$1.05 to $3.63

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $3 · 10th to 90th $1 to $6
$1$2$5$10facility $1professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.88
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$4.17
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$2.51
Typical High
$3.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$12.30
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.72
Typical High
$3.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.72
Typical High
$3.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$3.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.82
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.45
Typical High
$1.48
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.86
Typical High
$7.76

Where Alaska sits

The same service costs 2.3 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.

Alaska· 11th of 51

$3.24

KS $4.37CO $1.86

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.