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Ostomy Pouch, Closed, Locking Flange, with Filter

New Jersey 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?

$1.58

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1.58 for this service. The price depends on where it is billed: about $1.58 from a physician practice, and about $1.26 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$1.58$1.17 to $1.74
FacilityA hospital or hospital-owned outpatient department$1.26$1.26 to $1.55

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $2
$0.0$0.1$0.5$2.0$10.0facility $1professional $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
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.26
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.55
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.14
Typical High
$3.47
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
United
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.23
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.48
Typical High
$2.51

Where New Jersey 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.

New Jersey $1.58 · 37th 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.