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

Alabama 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 October 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4 cost?

$7.08

Typical negotiated rate. In Alabama, October 2026.

Insurers have agreed to pay about $7.08 for this service. Most negotiated rates run $6.76 to $10.96.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $8Professionalmedian $7 · 10th to 90th $5 to $11
$5$10facility $8professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.66
Median
$1.66
Typical High
$1.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.10
Median
$1.10
Typical High
$1.10
Ambetter
Setting
Professional
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
BCBS Alabama
Setting
Professional
Modifier
12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$6.46
Typical High
$8.32

Where Alabama sits

The same service costs 2.1 times more in Idaho than in Delaware. 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.

Alabama· 49th of 51

$7.08

ID $14.79DE $7.08

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.