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Ostomy Pouch, Closed, without Barrier, with Filter

Illinois rates for HCPCS A4418

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

Rates data updated October 2026.

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

$1.45

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.45 from a physician practice, and about $4.57 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.45$1.26 to $2.45
FacilityA hospital or hospital-owned outpatient department$4.57$2.57 to $12.30

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $21Professionalmedian $1 · 10th to 90th $1 to $3
$1$2$5$10$20facility $5professional $1

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
$1.17
Median
$1.41
Typical High
$2.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.17
Median
$1.41
Typical High
$2.19
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.59
Median
$0.71
Typical High
$1.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.24
Median
$0.28
Typical High
$0.43
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.18
Median
$0.21
Typical High
$0.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.12
Median
$0.14
Typical High
$0.22
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$5.75
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$1.45
Typical High
$1.78
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.51
Typical High
$3.55
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Molina
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.26
Typical High
$2.95

Where Illinois sits

The same service costs 2.3 times more in Kansas 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.

Illinois· 38th of 51

$1.45

KS $2.95CT $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.