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

Rhode Island 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?

$2.75

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.75 from a physician practice, and about $9.55 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 4 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$2.75$2.29 to $3.31
FacilityA hospital or hospital-owned outpatient department$9.55$7.59 to $10.96

How much rates vary

Facilitymedian $10 · 10th to 90th $3 to $12Professionalmedian $3 · 10th to 90th $2 to $4
$2.0$5.0$10.0$20.0facility $10professional $3

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.29
Typical High
$3.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$12.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.75
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.69
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.95
Typical High
$4.37

Where Rhode Island 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.

Rhode Island $2.75 · 47th 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.