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Ostomy Pouch, Closed, Locking Flange, with Filter

North Carolina 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?

$2.04

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.00 from a physician practice, and about $2.29 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 6 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$2.00$1.62 to $2.29
FacilityA hospital or hospital-owned outpatient department$2.29$1.78 to $2.88

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $4Professionalmedian $2 · 10th to 90th $1 to $2
$0.1$1.0$10.0$100.0facility $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
$2.29
Median
$2.29
Typical High
$2.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.29
Typical High
$2.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.89
Typical High
$5.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.70
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.29
Typical High
$1.86
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$2.34
Typical High
$3.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.66
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.26
Typical High
$1.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$19.50

Where North Carolina sits

The same service costs 2.4 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $2.04 · 15th of 51
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.