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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 July 2026.

Facilitymedian $1 · 10th–90th $1$30%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1$40%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$0.76
Median
$2.00
Typical High
$2.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$2.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.48
Typical High
$2.63
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.63
Typical High
$8.51
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.51
Typical High
$2.51
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.51
Typical High
$2.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.71
Typical High
$2.69
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.95
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.00
Typical High
$1.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.29
Typical High
$5.37