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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

North Dakota 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?

$7.41

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $5.89 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 5 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$7.59$5.89 to $8.91
FacilityA hospital or hospital-owned outpatient department$5.89$5.13 to $5.89

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $10Professionalmedian $8 · 10th to 90th $3 to $10
$5$10$20$50facility $6professional $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
$5.89
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$5.13
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.91
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.33
Typical High
$11.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$6.46
Typical High
$17.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.80
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$5.01
Typical High
$9.33

Where North Dakota 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.

North Dakota· 5th of 51

$7.41

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.