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

West Virginia 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?

$2.29

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $2.09 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 4 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$2.29$2.09 to $2.45
FacilityA hospital or hospital-owned outpatient department$2.09$2.09 to $2.09

How much rates vary

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

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.29
Typical High
$2.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$5.13
Typical High
$6.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$8.71
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$18.62
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.45
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.14
Typical High
$3.24

Where West Virginia 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.

West Virginia· 40th of 51

$2.29

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.