go back

Ostomy Pouch, Closed, Locking Flange, with Filter

New Mexico 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 $2 · 10th–90th $1$30%10%10th90th$2Professionalmedian $2 · 10th–90th $1$40%10%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.86
Median
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.82
Typical High
$11.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.04
Typical High
$2.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$3.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.57
Typical High
$4.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.95
Typical High
$3.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$2.69
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.12
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.10
Typical High
$1.66