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Ostomy Pouch, Closed, Locking Flange, with Filter

North Dakota 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?

$2.45

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $2.45 for this service. The price depends on where it is billed: about $2.45 from a physician practice, and about $1.91 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$2.45$1.91 to $2.88
FacilityA hospital or hospital-owned outpatient department$1.91$1.91 to $1.91

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $6Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20$50facility $2professional $2

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$1.91
Typical High
$1.91
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$2.19
Median
$2.88
Typical High
$2.88
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$2.63
Median
$3.47
Typical High
$3.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$3.02
Typical High
$3.72
Medica
Setting
Facility
Modifier
None
Typical Low
$1.26
Median
$1.91
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$1.05
Median
$1.23
Typical High
$2.09
United
Setting
Professional
Modifier
None
Typical Low
$0.85
Median
$1.23
Typical High
$2.09

Where North Dakota 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.

North Dakota· 8th of 51

$2.45

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.