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Ostomy Pouch, Closed, without Barrier, with Filter

Texas 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$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1$20%20%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
$1.26
Median
$1.62
Typical High
$1.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.62
Typical High
$2.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.62
Christus
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.57
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.78
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
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$19.05
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.14
Typical High
$3.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.29
Typical High
$2.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.04
Typical High
$3.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.70
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.15
Typical High
$2.57
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.17
Typical High
$1.55
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$2.57
Typical High
$3.47