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Ostomy Pouch, Closed, Locking Flange, with Filter

Massachusetts 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$790%20%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%40%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

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
$1.12
Median
$1.12
Typical High
$1.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.38
Typical High
$3.63
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.14
Typical High
$3.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$2.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.86
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$3.39
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.14
Typical High
$3.16
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.10
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.14
Typical High
$2.29