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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Missouri 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?

$4.90

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.79 from a physician practice, and about $6.92 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$4.79$4.07 to $6.76
FacilityA hospital or hospital-owned outpatient department$6.92$4.68 to $8.13

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $16Professionalmedian $5 · 10th to 90th $4 to $10
$5$10$20$50facility $7professional $5

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
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.25
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.27
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$7.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.24
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.98
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$5.13
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.98
Typical High
$6.31

Where Missouri 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.

Missouri· 39th of 51

$4.90

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.