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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

West Virginia 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?

$4.37

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $3.89 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 4 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$4.37$3.72 to $4.37
FacilityA hospital or hospital-owned outpatient department$3.89$3.89 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $10Professionalmedian $4 · 10th to 90th $2 to $5
$2$5$10$20facility $4professional $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. 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
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.37
Typical High
$4.79
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$7.08
Typical High
$10.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.51
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$9.77
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$2.75
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.07
Typical High
$6.17

Where West Virginia 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.

West Virginia· 35th of 51

$4.37

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.