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Ostomy Pouch, Closed, without Barrier, with Filter

Rhode Island rates for HCPCS A4418

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

Rates data updated October 2026.

How much does Ostomy Pouch, Closed, without Barrier, with Filter cost?

$1.32

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1.32 for this service. Most negotiated rates run $1.05 to $1.62.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $6Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5facility $5professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.05
Median
$1.05
Typical High
$1.62
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.52
Median
$0.52
Typical High
$0.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.21
Median
$0.21
Typical High
$0.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.16
Median
$0.16
Typical High
$0.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.11
Median
$0.11
Typical High
$0.16
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$3.72
Median
$5.01
Typical High
$5.89
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$1.32
Typical High
$1.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.45
Median
$1.45
Typical High
$1.70
United
Setting
Professional
Modifier
None
Typical Low
$0.89
Median
$1.45
Typical High
$2.09

Where Rhode Island sits

The same service costs 2.3 times more in Kansas than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 48th of 51

$1.32

KS $2.95CT $1.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.