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

Idaho 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?

$4.07

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $3.72 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$2.69 to $4.79
FacilityA hospital or hospital-owned outpatient department$3.72$2.69 to $5.13

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $7Professionalmedian $4 · 10th to 90th $2 to $5
$1$5$20$100facility $4professional $4

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
Professional
Modifier
None
Typical Low
$2.14
Median
$5.13
Typical High
$5.13
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$3.63
Typical High
$6.17
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$4.07
Typical High
$4.27
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$2.51
Median
$2.82
Typical High
$2.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1.05
Median
$3.63
Typical High
$5.13
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$4.07
Typical High
$5.13
Molina
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.69
Typical High
$30.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$4.79
Typical High
$229.09
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.79
Typical High
$269.15
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.69
Typical High
$4.07
Select Health
Setting
Facility
Modifier
None
Typical Low
$3.89
Median
$3.89
Typical High
$4.90
Select Health
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$3.89
Typical High
$4.27
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.58
Typical High
$2.57

Where Idaho 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.

Idaho· 2nd of 51

$4.07

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.