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Ostomy Pouch, Closed, without Barrier, with Filter

Iowa rates for HCPCS A4418

Ostomy pouch, closed; without barrier attached, with filter (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, without Barrier, with Filter cost?

$2.04

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.04 from a physician practice, and about $2.09 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$2.04$1.55 to $2.19
FacilityA hospital or hospital-owned outpatient department$2.09$1.62 to $2.75

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $6Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0$20.0$50.0$100.0facility $2professional $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
$1.51
Median
$1.86
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.04
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.02
Typical High
$3.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.45
Typical High
$2.75
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.75
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.55
Typical High
$4.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.95
Typical High
$3.31
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$4.27
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$1.15
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.26
Typical High
$2.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.04
Typical High
$2.04

Where Iowa sits

The same service costs 2.3 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $2.04 · 16th of 51
KS $2.95CO $1.26

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.