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

Minnesota 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?

$7.76

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $22.91 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$7.76$6.31 to $7.76
FacilityA hospital or hospital-owned outpatient department$22.91$8.51 to $33.88

How much rates vary

Facilitymedian $23 · 10th to 90th $5 to $63Professionalmedian $8 · 10th to 90th $5 to $9
$2$5$10$20$50facility $23professional $8

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
$2.69
Median
$4.90
Typical High
$6.46
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$9.12
Typical High
$13.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$29.51
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$10.23
Typical High
$11.48
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$63.10
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$7.76
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.24
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.95
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.80
Typical High
$10.72

Where Minnesota 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.

Minnesota· 3rd of 51

$7.76

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.