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Ostomy Pouch, Closed, without Barrier, with Filter

Nebraska 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$790%20%10th90th$3Professionalmedian $2 · 10th–90th $1$20%20%40%10th90th$2$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
$2.09
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.78
Median
$1.66
Typical High
$2.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.02
Typical High
$5.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$3.55
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.26
Typical High
$2.51
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$6.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$6.31
Typical High
$6.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.55
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.23
Typical High
$2.00