go back

Ostomy Pouch, Closed, Nonlocking Flange, with Filter

New Hampshire 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?

$1.38

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1.38 for this service. The price depends on where it is billed: about $1.45 from a physician practice, and about $1.29 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 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$1.45$1.23 to $2.09
FacilityA hospital or hospital-owned outpatient department$1.29$1.29 to $1.55

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10facility $1professional $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
$1.29
Median
$1.29
Typical High
$1.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.29
Typical High
$1.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.45
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$3.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.93
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.38
Typical High
$2.09
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$17.38

Where New Hampshire 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.

New Hampshire· 46th of 51

$1.38

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.