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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 October 2026.

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

$2.69

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $2.69 for this service. The price depends on where it is billed: about $2.69 from a physician practice, and about $2.88 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.69$2.00 to $3.80
FacilityA hospital or hospital-owned outpatient department$2.88$2.75 to $2.88

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $2 to $7
$2$5$10facility $3professional $3

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.62
Median
$1.86
Typical High
$3.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.62
Median
$1.62
Typical High
$3.55
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$4.37
Typical High
$7.08
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$0.19
Median
$0.19
Typical High
$0.41
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$1.41
Median
$1.41
Typical High
$3.16
CDPHP
Setting
Professional
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$3.89
Median
$5.75
Typical High
$13.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$4.27
Typical High
$6.61
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.88
Typical High
$3.16
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.34
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$2.09
Typical High
$2.63
Univera
Setting
Facility
Modifier
None
Typical Low
$2.69
Median
$2.88
Typical High
$2.88
Univera
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$2.88
Typical High
$3.16

Where New York 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 York· 23rd of 51

$2.69

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.