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Ostomy Pouch, Closed, Nonlocking Flange, with Filter

Utah 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?

$1.74

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1.74 for this service. The price depends on where it is billed: about $1.74 from a physician practice, and about $0.68 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$1.74$1.23 to $2.57
FacilityA hospital or hospital-owned outpatient department$0.68$0.68 to $0.81

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $2 · 10th to 90th $1 to $10
$1$2$5$10facility $1professional $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
$0.68
Median
$0.68
Typical High
$0.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.55
Typical High
$10.47
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
$1.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.78
Typical High
$2.34
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.74
Typical High
$2.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.45
Typical High
$2.45
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.45
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$0.93
Typical High
$0.95
United
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.02
Typical High
$1.82

Where Utah 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.

Utah· 22nd of 51

$1.74

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.