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

New Mexico 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?

$2.40

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $2.29 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$2.40$1.95 to $3.31
FacilityA hospital or hospital-owned outpatient department$2.29$1.05 to $2.69

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $2 to $4
$1$2$5facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.69
Typical High
$2.75
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$3.02
Typical High
$3.63
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
Molina
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$6.61
Providence
Setting
Facility
Modifier
None
Typical Low
$1.05
Median
$2.29
Typical High
$2.95
Providence
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$3.98
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.58
Typical High
$2.40

Where New Mexico 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.

New Mexico· 28th of 51

$2.40

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.