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Ostomy Pouch, Closed, without Barrier, with Filter

Missouri rates for HCPCS A4418

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$50%20%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%10th90th$1$0.2$1.0$5.0$20.0

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
$1.07
Median
$2.51
Typical High
$2.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.62
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.32
Typical High
$2.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$2.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.14
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.26
Typical High
$12.59
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$1.62
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$1.26
Typical High
$1.95