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

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $19.05 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$4.68$3.55 to $6.17
FacilityA hospital or hospital-owned outpatient department$19.05$5.75 to $44.67

How much rates vary

Facilitymedian $19 · 10th to 90th $3 to $65Professionalmedian $5 · 10th to 90th $2 to $8
$10$100$1K$10K$100Kfacility $19professional $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
$5.62
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.57
Typical High
$33.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$40.74
Typical High
$69.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.17
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$11.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.76
Typical High
$13.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$5.62
Typical High
$8.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.24
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.24
Typical High
$4.90

Where New Mexico 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.

New Mexico· 23rd 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.