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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 October 2026.

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

$1.58

Typical negotiated rate. In New Mexico, October 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 $1.55 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.58$1.12 to $2.04
FacilityA hospital or hospital-owned outpatient department$1.55$0.71 to $1.86

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $2Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5facility $2professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.86
Median
$1.86
Typical High
$1.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.62
Median
$1.82
Typical High
$1.86
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$1.55
Median
$2.04
Typical High
$2.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.32
Typical High
$1.55
Molina
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.57
Typical High
$4.57
Providence
Setting
Facility
Modifier
None
Typical Low
$0.71
Median
$1.55
Typical High
$2.04
Providence
Setting
Professional
Modifier
None
Typical Low
$1.32
Median
$1.32
Typical High
$2.69
United
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.10
Typical High
$1.66

Where New Mexico sits

The same service costs 2.3 times more in Kansas than in New Jersey. 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.

New Mexico· 32nd of 51

$1.58

KS $3.09NJ $1.32

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.