go back

Ostomy Pouch, Closed, Locking Flange, with Filter

Alaska rates for HCPCS A4423

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

Rates data updated October 2026.

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

$2.51

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $2.51 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.45 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.51$2.24 to $2.51
FacilityA hospital or hospital-owned outpatient department$2.45$1.66 to $2.51

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $2professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.12
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.55
Median
$1.55
Typical High
$1.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.32
Typical High
$2.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$2.51
Typical High
$2.51
Moda Health
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.51
Typical High
$3.55
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.51
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.51
Typical High
$2.57
Providence
Setting
Facility
Modifier
None
Typical Low
$0.71
Median
$1.66
Typical High
$3.55
Providence
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.66
Typical High
$60.26
United
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.29
Typical High
$6.03

Where Alaska sits

The same service costs 2.3 times more in Kansas than in New Jersey. 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.

Alaska· 7th of 51

$2.51

KS $3.09NJ $1.32

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.