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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

North Carolina 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?

$1.86

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1.86 for this service. The price depends on where it is billed: about $1.86 from a physician practice, and about $2.09 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 7 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$1.86$1.62 to $2.09
FacilityA hospital or hospital-owned outpatient department$2.09$1.66 to $2.75

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $2
$1$2$5$10$20$50facility $2professional $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
$2.09
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.09
Typical High
$2.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$1.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.24
Typical High
$3.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.86
Typical High
$1.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.23
Typical High
$1.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$2.14
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.55
Typical High
$2.45
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.17
Typical High
$1.70
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$18.20

Where North Carolina 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.

North Carolina· 16th of 51

$1.86

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.