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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

Missouri rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$3.98

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $6.03 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.89$3.55 to $5.75
FacilityA hospital or hospital-owned outpatient department$6.03$3.80 to $7.24

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $14Professionalmedian $4 · 10th to 90th $3 to $8
$2$5$10$20$50facility $6professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.37
Typical High
$30.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$5.50
Typical High
$7.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.80
Typical High
$6.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$7.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$6.03
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.55
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$4.57
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.55
Typical High
$5.50

Where Missouri sits

The same service costs 2.4 times more in Hawaii than in Colorado. 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.

Missouri· 46th of 51

$3.98

HI $7.76CO $3.24

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.