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

Colorado 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 $3 · 10th–90th $1$50%10%10th90th$3Professionalmedian $2 · 10th–90th $2$30%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0

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
$1.62
Median
$1.62
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$2.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.95
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.55
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$2.82
Typical High
$5.37
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.89
Typical High
$10.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.08
Typical High
$8.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.89
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.58
Typical High
$2.40