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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

Minnesota 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?

$2.40

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $6.76 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 6 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$2.40$2.00 to $2.40
FacilityA hospital or hospital-owned outpatient department$6.76$2.63 to $9.77

How much rates vary

Facilitymedian $7 · 10th to 90th $2 to $19Professionalmedian $2 · 10th to 90th $2 to $3
$1$2$5$10$20$50facility $7professional $2

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
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.51
Typical High
$2.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.82
Typical High
$4.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.40
Typical High
$2.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$8.51
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.02
Typical High
$3.31
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$9.33
Typical High
$18.62
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$3.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$2.40
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.02
Typical High
$2.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.93
Typical High
$1.10
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.20
Typical High
$3.31

Where Minnesota 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.

Minnesota· 4th of 51

$2.40

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.