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Ostomy Pouch, Closed, Locking Flange, with Filter

Indiana 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$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1$20%10%20%10th90th$2$1.0$2.0$5.0$10.0

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
$2.24
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.62
Typical High
$2.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.38
Typical High
$2.57
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.39
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.91
Median
$1.55
Typical High
$1.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$2.82
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.00
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.23
Typical High
$1.86