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

West 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?

$4.68

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $4.27 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 4 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$4.27 to $4.79
FacilityA hospital or hospital-owned outpatient department$4.27$4.27 to $4.27

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $10Professionalmedian $5 · 10th to 90th $4 to $5
$2$5$10$20facility $4professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.68
Typical High
$5.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.01
Typical High
$10.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$10.72
Typical High
$10.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.95
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.37
Typical High
$6.61

Where West 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.

West Virginia· 39th of 51

$4.68

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.