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Ostomy Pouch, Closed, Locking Flange

Missouri rates for HCPCS A4420

Ostomy pouch, closed; for use on barrier with locking flange (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, Locking Flange cost?

$0.68

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $0.68 for this service. The price depends on where it is billed: about $0.68 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 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$0.68$0.68 to $1.74
FacilityA hospital or hospital-owned outpatient department$0.68$0.68 to $0.98

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $0 to $2
$0.1$1$10$100facility $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
$0.68
Median
$0.68
Typical High
$0.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.11
Median
$1.74
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.74
Typical High
$1.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.95
Typical High
$2.19
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91

Where Missouri sits

The same service costs 6.5 times more in Kansas than in South Dakota. 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· 23rd of 51

$0.68

KS $4.37SD $0.68

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.