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Ostomy Pouch, Closed, Locking Flange, with Filter

Virginia 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$40%20%10th90th$2Professionalmedian $2 · 10th–90th $1$20%20%40%10th90th$2$0.0$0.2$2.0$20.0$200.0$2.0K

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
$1.62
Median
$1.62
Typical High
$1.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.62
Typical High
$1.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$2.69
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.63
Typical High
$3.72
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.86
Typical High
$2.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1.10
Median
$1.86
Typical High
$3.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.62
Typical High
$1.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$2.29
Typical High
$8.91
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.29
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.76
Median
$1.00
Typical High
$1.32
United
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.29
Typical High
$2.04