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

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $5.89 from a physician practice, and about $6.76 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$5.89$4.90 to $6.76
FacilityA hospital or hospital-owned outpatient department$6.76$5.25 to $8.51

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $15Professionalmedian $6 · 10th to 90th $4 to $7
$2$5$10$20$50facility $7professional $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
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.76
Typical High
$6.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$11.48
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$5.50
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.89
Typical High
$5.50
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$6.76
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.90
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.72
Typical High
$5.37
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$57.54

Where North Carolina 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.

North Carolina· 14th 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.