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Ostomy Irrigation Cone or Catheter, with or without Brush

Missouri rates for HCPCS A4399

Ostomy irrigation supply; cone/catheter, with or without brush

Rates data updated July 2026.

How much does Ostomy Irrigation Cone or Catheter, with or without Brush cost?

$8.91

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $13.18 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$8.91$7.76 to $12.30
FacilityA hospital or hospital-owned outpatient department$13.18$8.32 to $14.79

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $30Professionalmedian $9 · 10th to 90th $7 to $17
$5$10$20$50facility $13professional $9

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
$6.31
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$9.55
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.13
Typical High
$13.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$15.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.24
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$10.96
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.24
Typical High
$11.48

Where Missouri sits

The same service costs 2.2 times more in Wisconsin 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· 46th of 51

$8.91

WI $17.38CO $7.76

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.