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

Kentucky 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?

$2.00

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $2.00 for this service. The price depends on where it is billed: about $2.00 from a physician practice, and about $2.45 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.00$1.91 to $2.40
FacilityA hospital or hospital-owned outpatient department$2.45$2.29 to $3.39

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $9Professionalmedian $2 · 10th to 90th $2 to $3
$1$2$5$10facility $2professional $2

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
$2.14
Median
$2.14
Typical High
$2.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.09
Median
$2.40
Typical High
$2.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.00
Typical High
$2.57
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$0.19
Median
$0.19
Typical High
$0.19
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1.41
Median
$1.41
Typical High
$2.00
CareSource
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$3.39
Typical High
$5.50
CareSource
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$4.68
Typical High
$6.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.82
Typical High
$8.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$2.45
Typical High
$18.62
Molina
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.82
Typical High
$5.37
United
Setting
Professional
Modifier
None
Typical Low
$1.23
Median
$1.70
Typical High
$2.51

Where Kentucky 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.

Kentucky· 43rd of 51

$2.00

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.