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Ostomy Pouch, Closed, Locking Flange, with Filter

Florida 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$20%50%10th90th$2Professionalmedian $2 · 10th–90th $1$20%20%10th90th$2$0.0$0.1$0.5$2.0$10.0$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
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.86
Typical High
$1.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.86
Typical High
$2.29
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.14
Typical High
$2.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.55
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$1.58
Typical High
$2.63
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.38
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.17
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.26
Typical High
$1.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.63