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Ostomy Pouch, Closed, One-Piece, with Filter

Minnesota 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?

$3.89

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $3.89 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $11.48 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$3.89$3.16 to $3.89
FacilityA hospital or hospital-owned outpatient department$11.48$4.27 to $16.98

How much rates vary

Facilitymedian $11 · 10th to 90th $2 to $32Professionalmedian $4 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $11professional $4

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
$2.45
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.45
Typical High
$3.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.47
Typical High
$6.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$14.79
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.13
Typical High
$5.75
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$31.62
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$3.89
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.62
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.48
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.91
Typical High
$5.37

Where Minnesota 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.

Minnesota· 3rd of 51

$3.89

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.