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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

North Carolina 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?

$5.50

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $5.50 for this service. The price depends on where it is billed: about $5.50 from a physician practice, and about $6.17 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$5.50$4.47 to $6.17
FacilityA hospital or hospital-owned outpatient department$6.17$4.90 to $7.94

How much rates vary

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

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
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$6.17
Typical High
$6.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.13
Typical High
$7.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.47
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.55
Typical High
$5.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$6.31
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$4.68
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.39
Typical High
$5.01
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$53.70

Where North Carolina 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.

North Carolina· 16th of 51

$5.50

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.