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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 July 2026.

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

$9.33

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

Insurers have agreed to pay about $9.33 for this service. Most negotiated rates run $7.24 to $9.33.

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 $9
$5$10facility $9professional $9

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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.33
Typical High
$9.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.55
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
$8.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$12.59

Where Washington, DC sits

The same service costs 2.0 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.

Washington, DC· 24th of 51

$9.33

HI $14.13CO $6.92

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.