go back

Ostomy Pouch, Closed, Nonlocking Flange, with Filter

West Virginia 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?

$1.48

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1.48 for this service. The price depends on where it is billed: about $1.48 from a physician practice, and about $1.32 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 5 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$1.48$1.32 to $1.55
FacilityA hospital or hospital-owned outpatient department$1.32$1.32 to $1.32

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.48
Typical High
$1.62
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.58
Typical High
$3.24
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$3.39
Typical High
$3.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$11.75
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
United
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.93
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.38
Typical High
$2.09

Where West Virginia 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.

West Virginia· 36th of 51

$1.48

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.