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

Kansas 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?

$4.37

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $4.68 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.37$1.86 to $4.37
FacilityA hospital or hospital-owned outpatient department$4.68$4.68 to $4.90

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $5Professionalmedian $4 · 10th to 90th $2 to $5
$1$2$5$10$20$50facility $5professional $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
Facility
Modifier
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$4.90
Typical High
$5.01
BCBS Kansas
Setting
Facility
Modifier
None
Typical Low
$4.68
Median
$4.90
Typical High
$4.90
BCBS Kansas
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Medica
Setting
Facility
Modifier
None
Typical Low
$2.04
Median
$3.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$2.14
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.86
Typical High
$2.40

Where Kansas 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.

Kansas· 1st of 51

$4.37

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.