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

South Carolina 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?

$3.02

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $3.02 from a physician practice, and about $3.02 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 6 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$3.02$2.09 to $3.16
FacilityA hospital or hospital-owned outpatient department$3.02$2.51 to $3.63

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $2 to $3
$1$2$5$10facility $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
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.02
Typical High
$3.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.47
Typical High
$3.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.89
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.29
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$5.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$3.39
Typical High
$6.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$1.48
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.82
Typical High
$2.45

Where South Carolina 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.

South Carolina· 15th of 51

$3.02

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.