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

Iowa 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?

$3.02

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $3.16 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 7 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$3.02$2.29 to $3.31
FacilityA hospital or hospital-owned outpatient department$3.16$2.40 to $4.17

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $9Professionalmedian $3 · 10th to 90th $2 to $6
$1$2$5$10$20$50facility $3professional $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
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.75
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.02
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.47
Typical High
$5.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$9.77
Typical High
$10.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.17
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.29
Typical High
$6.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.37
Typical High
$4.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.31
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.86
Typical High
$3.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.09
Typical High
$3.09

Where Iowa 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.

Iowa· 13th of 51

$3.02

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.