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Ostomy Pouch, Closed, Locking Flange, with Filter

Kansas 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 $3 · 10th–90th $1$30%20%10th90th$3Professionalmedian $3 · 10th–90th $1$30%50%10th$3$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
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.55
Typical High
$2.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.09
Typical High
$3.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$3.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.86
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.29
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$2.63
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.23
Typical High
$1.86