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Ostomy Pouch, Closed, Locking Flange, with Filter

Louisiana 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$50%20%10th90th$2Professionalmedian $2 · 10th–90th $1$20%50%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
$1.48
Median
$1.82
Typical High
$1.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.70
Typical High
$2.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.89
Typical High
$5.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$2.45
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.00
Typical High
$1.32
United
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.23
Typical High
$1.58