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Ostomy Pouch, Closed, without Barrier, with Filter

North Dakota rates for HCPCS A4418

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$30%50%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$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
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.62
Typical High
$9.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.75
Typical High
$3.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.02
Typical High
$3.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.19
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.17
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.55
Typical High
$2.95