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

Louisiana 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$70%20%10th90th$3Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0

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
$2.19
Median
$2.69
Typical High
$2.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.45
Typical High
$3.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$5.62
Typical High
$7.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.48
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.78
Typical High
$2.29