go back

Ostomy Pouch, Closed, without Barrier, with Filter

Minnesota rates for HCPCS A4418

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $2$210%10%10th90th$8Professionalmedian $3 · 10th–90th $2$30%50%10th90th$3$0.0$0.1$0.5$2.0$10.0$50.0

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
$1.62
Median
$1.62
Typical High
$1.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$1.62
Typical High
$2.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.95
Typical High
$4.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$9.77
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.39
Typical High
$3.80
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$21.38
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$2.51
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.07
Typical High
$2.75
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$0.98
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.26
Typical High
$3.47