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Ostomy Pouch, Closed, without Barrier, with Filter

Vermont rates for HCPCS A4418

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$20%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1$20%20%40%10th90th$2$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.70
Typical High
$2.40
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
$1.70
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$0.89
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.58
Typical High
$5.13