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

New York 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.

How much does Ostomy Pouch, Drainable, High Output, Two-Piece, No Filter cost?

$2.57

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.51$2.00 to $5.01
FacilityA hospital or hospital-owned outpatient department$2.88$2.14 to $3.55

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $2 to $7
$1$10$100$1K$10Kfacility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.29
Typical High
$3.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.39
Typical High
$7.08
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.16
Typical High
$3.16
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.82
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$14.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.79
Typical High
$7.41
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.02
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.72
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.62
Typical High
$10.72
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.51
Typical High
$6.61
Univera
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.75
Typical High
$3.02
Univera
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.88

Where New York sits

The same service costs 2.3 times more in Kansas than in Colorado. 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 York· 25th of 51

$2.57

KS $4.37CO $1.86

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.