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Ostomy Pouch, Closed, without Barrier, with Filter

Tennessee 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$850%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1$20%10%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
$1.32
Median
$1.48
Typical High
$2.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.58
Typical High
$2.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.70
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$19.05
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$1.15
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.17
Typical High
$1.48