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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

New York 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?

$5.01

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $5.01 from a physician practice, and about $6.31 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$5.01$4.37 to $7.59
FacilityA hospital or hospital-owned outpatient department$6.31$4.79 to $7.59

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $11Professionalmedian $5 · 10th to 90th $4 to $12
$10$100$1K$10Kfacility $6professional $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
$3.55
Median
$4.90
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.01
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$13.49
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$6.76
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$5.75
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$13.49
Typical High
$31.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$8.71
Typical High
$15.49
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.61
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$6.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.47
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$5.37
Typical High
$13.49
Univera
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$6.31
Typical High
$7.59
Univera
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$6.31

Where New York 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.

New York· 34th of 51

$5.01

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.