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

Florida 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 $2$30%50%10th90th$3Professionalmedian $3 · 10th–90th $2$40%20%10th90th$3$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
$1.70
Median
$2.75
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.75
Typical High
$3.31
AvMed
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.89
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$2.29
Typical High
$3.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.24
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.82
Typical High
$2.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.89