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Ostomy Pouch, Closed, Locking Flange, with Filter

Nationwide rates for HCPCS A4423

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$60%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%40%10th90th$2$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.70
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.62
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$1.26
Typical High
$3.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.45
Typical High
$2.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.66
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$3.72
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.15
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.29
Typical High
$2.40