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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

Missouri 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 Missouri, July 2026.

Insurers have agreed to pay about $1.45 for this service. The price depends on where it is billed: about $1.35 from a physician practice, and about $2.00 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$1.35$1.23 to $2.04
FacilityA hospital or hospital-owned outpatient department$2.00$1.29 to $2.45

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
Facility
Modifier
Global
Typical Low
$1.02
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.02
Median
$1.55
Typical High
$10.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.29
Typical High
$2.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$2.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$2.04
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.20
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$1.55
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.20
Typical High
$1.91

Where Missouri 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.

Missouri· 42nd 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.