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Ostomy Pouch, Closed, Locking Flange, with Filter

Missouri 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 $1 · 10th–90th $1$30%20%10th90th$1$0.2$1.0$5.0$20.0

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
$1.12
Median
$2.57
Typical High
$2.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.70
Typical High
$11.22
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.38
Typical High
$2.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$2.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$2.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.19
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.29
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.66
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.29
Typical High
$2.04