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

Maine 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?

$5.50

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $5.50 for this service. Most negotiated rates run $3.89 to $6.76.

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.

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $6Professionalmedian $5 · 10th to 90th $3 to $7
$2$5$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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.07
Typical High
$7.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$4.47
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.95
Typical High
$4.17
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.61
Typical High
$6.76

Where Maine 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.

Maine· 22nd of 51

$5.50

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.