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Ostomy Pouch, Closed, Locking Flange, with Filter

Kentucky 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$40%20%10th90th$1Professionalmedian $1 · 10th–90th $1$20%20%10th90th$1$0.0$0.1$0.5$2.0$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
$1.32
Median
$1.32
Typical High
$1.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.62
Typical High
$2.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.41
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$3.47
Typical High
$4.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.24
Typical High
$4.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$3.63
Typical High
$3.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.82
Typical High
$12.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.95
Typical High
$3.72
United
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$1.00
Typical High
$1.23
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.26
Typical High
$1.62