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Ostomy Pouch, Closed, One-Piece, with Filter

Michigan rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, One-Piece, with Filter cost?

$2.95

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $2.95 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $3.98 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 7 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$2.95$1.95 to $3.89
FacilityA hospital or hospital-owned outpatient department$3.98$2.95 to $11.48

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $17Professionalmedian $3 · 10th to 90th $2 to $4
$0.1$1$10facility $4professional $3

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
$2.95
Median
$2.95
Typical High
$2.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$2.40
Typical High
$3.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$11.48
Typical High
$22.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.69
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.75
Typical High
$8.13
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.09
Typical High
$4.68
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$3.16
United
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.51
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.82
Typical High
$2.75

Where Michigan 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.

Michigan· 17th of 51

$2.95

KS $3.98CO $1.91

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.