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

Washington, DC 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?

$9.33

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $9.33 for this service. Most negotiated rates run $7.41 to $9.55.

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 $9 · 10th to 90th $9 to $9Professionalmedian $9 · 10th to 90th $7 to $13
$5$10$20facility $9professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.76
Median
$9.33
Typical High
$12.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.00
Median
$1.41
Typical High
$1.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.68
Median
$0.93
Typical High
$1.20
CareFirst
Setting
Professional
Modifier
None
Typical Low
$9.33
Median
$9.33
Typical High
$9.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$12.02
Typical High
$27.54
United
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$7.41
Typical High
$14.13

Where Washington, DC 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.

Washington, DC· 23rd of 51

$9.33

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.