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Ostomy Pouch, Closed, Locking Flange, with Filter

Arizona rates for HCPCS A4423

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

Rates data updated July 2026.

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

$1.55

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $1.55 for this service. The price depends on where it is billed: about $1.55 from a physician practice, and about $2.51 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$1.55$1.10 to $1.95
FacilityA hospital or hospital-owned outpatient department$2.51$1.07 to $3.63

How much rates vary

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

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
Professional
Modifier
Global
Typical Low
$0.71
Median
$1.55
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$2.95
Typical High
$5.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.75
Typical High
$5.50
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
$1.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$2.04
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$1.10
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.02
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.10
Typical High
$1.66

Where Arizona sits

The same service costs 2.4 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.

Arizona· 43rd of 51

$1.55

KS $3.09CO $1.29

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.