go back

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

Louisiana rates for HCPCS A4417

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

Rates data updated October 2026.

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

$3.31

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.16 from a physician practice, and about $7.08 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.16$2.57 to $3.80
FacilityA hospital or hospital-owned outpatient department$7.08$4.17 to $8.91

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $11Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10facility $7professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$3.02
Typical High
$3.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$3.72
Typical High
$4.07
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.51
Median
$1.82
Typical High
$2.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.60
Median
$0.74
Typical High
$0.81
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.45
Median
$0.55
Typical High
$0.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.30
Median
$0.37
Typical High
$0.41
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$7.94
Typical High
$11.22
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.16
Median
$3.16
Typical High
$3.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$3.16
United
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$2.45
Typical High
$3.16

Where Louisiana sits

The same service costs 2.1 times more in Hawaii than in Connecticut. 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.

Louisiana· 26th of 51

$3.31

HI $5.62CT $2.63

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.