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

Virginia 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?

$4.79

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4.79 for this service. The price depends on where it is billed: about $4.79 from a physician practice, and about $6.03 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 8 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$4.79$3.89 to $5.50
FacilityA hospital or hospital-owned outpatient department$6.03$5.13 to $7.94

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $13Professionalmedian $5 · 10th to 90th $4 to $8
$10$100$1K$10Kfacility $6professional $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
$4.79
Median
$4.79
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.79
Typical High
$5.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.94
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.37
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
$4.57
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$10.96
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.50
Typical High
$8.32
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$5.62
Typical High
$9.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.79
Typical High
$5.13
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.92
Typical High
$26.92
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$22.91
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.02
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$6.03

Where Virginia 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.

Virginia· 36th of 51

$4.79

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.