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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 July 2026.

Facilitymedian $3 · 10th–90th $1$150%20%10th90th$3Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.58
Typical High
$2.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.75
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$2.75
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.69
Typical High
$3.55
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.31
Typical High
$3.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$2.57
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.26
Typical High
$2.19