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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Colorado rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Extended Wear Barrier cost?

$4.07

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.80 from a physician practice, and about $5.25 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 7 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$3.80$3.47 to $4.90
FacilityA hospital or hospital-owned outpatient department$5.25$3.47 to $8.13

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $10Professionalmedian $4 · 10th to 90th $3 to $6
$5$10$20facility $5professional $4

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
$3.47
Median
$3.47
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.55
Typical High
$5.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.17
Typical High
$7.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$7.08
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.89
Typical High
$11.48
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$8.13
Typical High
$19.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$15.14
Typical High
$17.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.13
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.63
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.39
Typical High
$5.37

Where Colorado sits

The same service costs 2.1 times more in Kansas 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.

Colorado· 51st of 51

$4.07

KS $8.51CO $4.07

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.