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

Nebraska 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?

$5.01

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $7.76 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$5.01$2.69 to $5.01
FacilityA hospital or hospital-owned outpatient department$7.76$5.13 to $10.23

How much rates vary

Facilitymedian $8 · 10th to 90th $3 to $79Professionalmedian $5 · 10th to 90th $2 to $7
$2$5$10$20$50facility $8professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$5.01
Typical High
$6.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.41
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$8.91
Typical High
$16.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.47
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.80
Typical High
$7.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$20.89
Midlands
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$19.05
Typical High
$20.89
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.68
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$6.03

Where Nebraska 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.

Nebraska· 30th of 51

$5.01

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.