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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.

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

$2.29

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $2.29 for this service. The price depends on where it is billed: about $2.29 from a physician practice, and about $2.14 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 8 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$2.29$1.26 to $2.29
FacilityA hospital or hospital-owned outpatient department$2.14$1.12 to $6.76

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $79Professionalmedian $2 · 10th to 90th $1 to $3
$1$10$100$1K$10Kfacility $2professional $2

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
$1.12
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

Where Massachusetts 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.

Massachusetts· 8th of 51

$2.29

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.