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

Nevada 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$30%50%10th$3Professionalmedian $3 · 10th–90th $2$70%10%10th90th$3$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
$3.31
Median
$3.31
Typical High
$3.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.88
Typical High
$16.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.95
Typical High
$2.34
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.89
Typical High
$7.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.47
Typical High
$3.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$1.45
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.04
Typical High
$4.79