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

Oklahoma 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?

$2.29

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $2.14 from a physician practice, and about $3.31 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.14$1.70 to $3.31
FacilityA hospital or hospital-owned outpatient department$3.31$2.29 to $3.31

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $4Professionalmedian $2 · 10th to 90th $1 to $10
$1$2$5$10$20$50facility $3professional $2

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
$2.24
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
BCBS Oklahoma
Setting
Facility
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.62
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Medica
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.34
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$1.35
Median
$2.29
Typical High
$18.62
United
Setting
Professional
Modifier
None
Typical Low
$1.07
Median
$1.58
Typical High
$2.29

Where Oklahoma 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.

Oklahoma· 33rd of 51

$2.29

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.