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

Georgia 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 October 2026.

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

$3.16

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $3.16 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $2.29 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$2.04 to $4.90
FacilityA hospital or hospital-owned outpatient department$2.29$2.29 to $2.40

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $18
$2$5$10facility $2professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.40
Median
$2.40
Typical High
$3.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.40
Typical High
$3.02
Ambetter
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$3.31
Typical High
$17.78
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$0.19
Median
$0.39
Typical High
$1.78
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1.41
Median
$2.88
Typical High
$13.18
CareSource
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
CareSource
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$5.13
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.89
Typical High
$14.13
United
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.86
Typical High
$4.47

Where Georgia sits

The same service costs 2.2 times more in Kansas than in Alabama. 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.

Georgia· 15th of 51

$3.16

KS $4.37AL $1.95

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.