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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 July 2026.

Facilitymedian $2 · 10th–90th $1$90%20%10th90th$2Professionalmedian $2 · 10th–90th $2$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0

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
$1.95
Median
$1.95
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.34
Typical High
$3.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$2.04
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.13
Typical High
$6.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.68
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$8.71
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.88
Typical High
$18.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.82
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.48
Typical High
$1.78
United
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.82
Typical High
$2.34