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Ostomy Pouch, Closed, One-Piece, Convex, with Filter

Colorado rates for HCPCS A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (one piece), each

Rates data updated July 2026.

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

$2.57

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.34 from a physician practice, and about $3.72 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$2.34$2.24 to $3.16
FacilityA hospital or hospital-owned outpatient department$3.72$2.24 to $5.25

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $7Professionalmedian $2 · 10th to 90th $2 to $4
$0.1$0.2$1.0$5.0$20.0facility $4professional $2

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
$2.24
Median
$2.24
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$3.39
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$2.69
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$4.57
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$3.89
Typical High
$7.24
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$5.37
Typical High
$8.32
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.77
Typical High
$11.22
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.37
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.34
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.19
Typical High
$3.31

Where Colorado sits

The same service costs 2.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $2.57 · 51st of 51
HI $5.37CO $2.57

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.