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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

South Carolina 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?

$6.46

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $6.46 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$6.31$4.47 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.46$5.25 to $7.76

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $11Professionalmedian $6 · 10th to 90th $4 to $7
$0.1$0.2$0.5$1$2$5$10facility $6professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.46
Typical High
$7.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$8.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.13
Typical High
$10.23
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
$10.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.41
Typical High
$12.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$5.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$3.16
Typical High
$8.13
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.89
Typical High
$5.62

Where South Carolina 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.

South Carolina· 15th of 51

$6.46

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.