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Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4

Alaska rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$140%20%40%10th90th$5Professionalmedian $13 · 10th–90th $4$210%20%10th90th$13$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
Professional
Modifier
Global
Typical Low
$4.07
Median
$10.47
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$15.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$8.71
Typical High
$14.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$14.13
Typical High
$45.71
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$13.49
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$14.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$14.45
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.23
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.37
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.92
Typical High
$28.18