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

Kentucky 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?

$3.98

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $3.98 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$3.98$3.89 to $4.90
FacilityA hospital or hospital-owned outpatient department$3.98$3.98 to $10.47

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $11Professionalmedian $4 · 10th to 90th $3 to $7
$0.1$0.5$2$10facility $4professional $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
$3.98
Median
$3.98
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$6.61
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.47
Typical High
$13.49
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.55
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.72
Typical High
$4.79

Where Kentucky 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.

Kentucky· 48th of 51

$3.98

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.