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

Indiana 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?

$4.57

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $6.61 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$4.37$3.89 to $5.89
FacilityA hospital or hospital-owned outpatient department$6.61$3.89 to $6.61

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $7Professionalmedian $4 · 10th to 90th $3 to $7
$2$5$10facility $7professional $4

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$4.79
Typical High
$6.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.07
Typical High
$7.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$10.00
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.57
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.63
Typical High
$5.50

Where Indiana 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.

Indiana· 45th of 51

$4.57

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.