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Ostomy Pouch, Closed, without Barrier, with Filter

Oregon 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%10%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.32
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.47
Typical High
$5.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.04
Typical High
$2.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.40
Typical High
$2.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.45
Typical High
$2.51
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.51
Typical High
$2.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$2.24
Typical High
$3.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.40
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.82
Typical High
$2.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$1.00
Typical High
$1.62
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.07
Typical High
$2.04