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

Arkansas 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.

Facilitymedian $398,107 · 10th–90th $3$933,2540%10%20%10th90th$398,107Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$2.88
Typical High
$3.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$2.29
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.95
Typical High
$2.69
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.62
Typical High
$2.40
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.70
Typical High
$2.45