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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Minnesota 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?

$8.13

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $23.99 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 6 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$8.13$6.61 to $8.13
FacilityA hospital or hospital-owned outpatient department$23.99$8.91 to $35.48

How much rates vary

Facilitymedian $24 · 10th to 90th $5 to $66Professionalmedian $8 · 10th to 90th $5 to $9
$5$10$20$50facility $24professional $8

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
$5.13
Median
$5.13
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$5.13
Typical High
$6.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$9.33
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$30.90
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$10.72
Typical High
$12.02
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$66.07
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$12.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.13
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.39
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.09
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.98
Typical High
$10.96

Where Minnesota 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.

Minnesota· 3rd of 51

$8.13

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.