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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.

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

$1.38

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $1.38 for this service. The price depends on where it is billed: about $1.38 from a physician practice, and about $1.32 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 6 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$1.38$1.29 to $1.62
FacilityA hospital or hospital-owned outpatient department$1.32$1.32 to $3.47

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $4Professionalmedian $1 · 10th to 90th $1 to $2
$0.02$0.1$0.5$2$10facility $1professional $1

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
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

Where Kentucky 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.

Kentucky· 47th of 51

$1.38

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.