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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

Arizona rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, Nonlocking Flange, with Filter cost?

$1.45

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.45 from a physician practice, and about $2.29 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.45$1.02 to $1.82
FacilityA hospital or hospital-owned outpatient department$2.29$1.00 to $3.39

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $5Professionalmedian $1 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $2professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.45
Typical High
$2.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$2.69
Typical High
$5.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.51
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$1.91
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.81
Median
$1.02
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.95
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.02
Typical High
$1.55

Where Arizona sits

The same service costs 2.5 times more in Kansas than in Colorado. 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.

Arizona· 43rd of 51

$1.45

KS $2.95CO $1.20

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.