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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 July 2026.

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

$2.40

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $1.91 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 5 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$2.40$1.86 to $2.88
FacilityA hospital or hospital-owned outpatient department$1.91$1.66 to $1.91

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $3Professionalmedian $2 · 10th to 90th $1 to $3
$1.0$2.0$5.0$10.0$20.0$50.0facility $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
$1.66
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.66
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.82
Typical High
$3.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$3.02
Typical High
$3.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$2.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.20
Typical High
$2.57
United
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.17
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.58
Typical High
$3.02

Where North Dakota 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 Dakota $2.40 · 6th 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.