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Ostomy Pouch, Closed, Locking Flange, with Filter

Nebraska 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?

$1.70

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $1.70 for this service. The price depends on where it is billed: about $1.70 from a physician practice, and about $2.63 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$1.70$0.91 to $1.70
FacilityA hospital or hospital-owned outpatient department$2.63$1.58 to $3.63

How much rates vary

Facilitymedian $3 · 10th to 90th $1 to $79Professionalmedian $2 · 10th to 90th $1 to $2
$1$2$5$10$20$50facility $3professional $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
$2.14
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.79
Median
$1.70
Typical High
$2.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.51
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.66
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$3.02
Typical High
$5.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$3.63
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.29
Typical High
$2.75
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.88
Typical High
$5.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$6.46
Typical High
$6.92
United
Setting
Facility
Modifier
Global
Typical Low
$0.93
Median
$1.58
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.26
Typical High
$2.04

Where Nebraska 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.

Nebraska· 28th of 51

$1.70

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.