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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Iowa 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?

$6.46

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $6.61 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$6.46$5.01 to $7.08
FacilityA hospital or hospital-owned outpatient department$6.61$5.13 to $8.91

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $15Professionalmedian $6 · 10th to 90th $4 to $12
$5$10$20$50facility $7professional $6

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
$5.89
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.46
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.55
Typical High
$11.75
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$12.30
Typical High
$13.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.12
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.37
Typical High
$13.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.33
Typical High
$21.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$13.49
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.63
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.98
Typical High
$7.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.61
Typical High
$6.61

Where Iowa 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.

Iowa· 14th of 51

$6.46

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.