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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.

Facilitymedian $3 · 10th–90th $2$90%10%10th90th$3Professionalmedian $3 · 10th–90th $2$60%10%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$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