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Ostomy Pouch, Drainable, High Output, Two-Piece, with Filter

Georgia rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Two-Piece, with Filter cost?

$5.01

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $4.90 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 7 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$5.25$4.37 to $6.46
FacilityA hospital or hospital-owned outpatient department$4.90$3.63 to $4.90

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $5Professionalmedian $5 · 10th to 90th $4 to $8
$0.1$0.5$2$10facility $5professional $5

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
$4.90
Median
$4.90
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$6.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$10.00
CareSource
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
CareSource
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$9.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$3.02
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$7.59

Where Georgia sits

The same service costs 2.2 times more in Hawaii 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.

Georgia· 29th of 51

$5.01

HI $7.76CO $3.47

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.