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Ostomy Pouch, Closed, without Barrier, with Filter

Kentucky rates for HCPCS A4418

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.0$0.1$0.5$2.0$10.0

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
$1.29
Median
$1.29
Typical High
$1.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.55
Typical High
$2.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.35
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$3.39
Typical High
$4.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.16
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$3.55
Typical High
$3.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.78
Typical High
$12.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.86
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$0.98
Typical High
$1.20
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.23
Typical High
$1.58