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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Maine 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?

$5.75

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $5.75 for this service. Most negotiated rates run $4.17 to $7.08.

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.

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $6 · 10th to 90th $3 to $7
$2$5$10facility $4professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.37
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
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
$5.25
Community Health Options
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$2,398.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.51
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.57
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.09
Typical High
$4.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$6.92
Typical High
$7.08

Where Maine 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.

Maine· 21st of 51

$5.75

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.