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

Iowa 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?

$6.17

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $6.46 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$6.17$4.68 to $6.76
FacilityA hospital or hospital-owned outpatient department$6.46$4.90 to $8.51

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $19Professionalmedian $6 · 10th to 90th $4 to $10
$2$5$10$20$50facility $6professional $6

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
$4.57
Median
$5.62
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$6.17
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.91
Typical High
$11.22
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.94
Typical High
$12.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$8.51
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$12.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.91
Typical High
$10.00
Midlands
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.47
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.80
Typical High
$7.41
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.31
Typical High
$6.31

Where Iowa 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.

Iowa· 15th of 51

$6.17

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.