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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 October 2026.

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

$1.66

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $1.66 for this service. The price depends on where it is billed: about $1.55 from a physician practice, and about $3.55 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.55$1.29 to $1.86
FacilityA hospital or hospital-owned outpatient department$3.55$2.09 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $2 · 10th to 90th $1 to $2
$1$2$5facility $4professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.48
Median
$1.48
Typical High
$1.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.48
Median
$1.82
Typical High
$2.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.76
Median
$0.91
Typical High
$1.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.30
Median
$0.37
Typical High
$0.41
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.22
Median
$0.28
Typical High
$0.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.15
Median
$0.18
Typical High
$0.21
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$2.24
Median
$3.98
Typical High
$5.62
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.55
Median
$1.55
Typical High
$1.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.32
Typical High
$1.55
United
Setting
Professional
Modifier
None
Typical Low
$0.74
Median
$1.23
Typical High
$1.58

Where Louisiana sits

The same service costs 2.3 times more in Kansas than in New Jersey. 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.

Louisiana· 27th of 51

$1.66

KS $3.09NJ $1.32

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.