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Ostomy Pouch, Closed, Locking Flange, with Filter

Oklahoma 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 $2$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1$20%20%10th90th$2$0.5$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
$1.51
Median
$1.55
Typical High
$1.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$1.51
Typical High
$1.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.29
Typical High
$2.29
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
$1.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.86
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.23
Typical High
$3.16
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.23
Typical High
$2.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.10
Typical High
$1.58