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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.

Facilitymedian $1 · 10th–90th $1$30%50%10th90th$1Professionalmedian $2 · 10th–90th $1$20%20%10th90th$2$0.0$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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