go back

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

North Carolina 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?

$4.17

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $4.57 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$3.98$3.55 to $4.57
FacilityA hospital or hospital-owned outpatient department$4.57$3.55 to $5.89

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $9Professionalmedian $4 · 10th to 90th $3 to $5
$0.1$1.0$10.0$100.0facility $5professional $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
$4.57
Median
$4.57
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.57
Typical High
$4.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.08
Typical High
$7.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.27
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
$3.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.57
Typical High
$3.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$4.57
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$3.31
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$2.51
Typical High
$3.63
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$38.90

Where North Carolina 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.

North Carolina $4.17 · 15th 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.