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

Mississippi 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?

$4.07

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $4.27 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$3.72$2.45 to $4.07
FacilityA hospital or hospital-owned outpatient department$4.27$4.27 to $4.68

How much rates vary

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

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
$4.57
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$5.37
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.29
Median
$2.29
Typical High
$2.63
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.91
Median
$0.91
Typical High
$1.07
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.68
Median
$0.68
Typical High
$0.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.45
Median
$0.45
Typical High
$0.52
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$4.68
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
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
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$2.45
Typical High
$3.16

Where Mississippi 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.

Mississippi· 18th of 51

$4.07

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.