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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Massachusetts 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?

$7.08

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $7.08 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 9 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$7.08$3.98 to $7.08
FacilityA hospital or hospital-owned outpatient department$6.61$3.55 to $20.89

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $76Professionalmedian $7 · 10th to 90th $4 to $8
$10$100$1K$10Kfacility $7professional $7

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
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.37
Typical High
$7.94
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.32
Typical High
$75.86
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$6.61
Typical High
$9.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$19.05
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
$5.75
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$10.72
Health New England
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$8.32
Typical High
$75.86
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$6.61
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.47
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$6.76
Typical High
$7.08

Where Massachusetts 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.

Massachusetts· 8th of 51

$7.08

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.