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

Louisiana 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?

$8.91

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $8.91 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $18.62 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$6.92 to $10.00
FacilityA hospital or hospital-owned outpatient department$18.62$10.96 to $23.44

How much rates vary

Facilitymedian $19 · 10th to 90th $8 to $29Professionalmedian $8 · 10th to 90th $5 to $10
$5$10$20facility $19professional $8

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
Facility
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$9.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$9.77
Typical High
$10.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.20
Median
$1.45
Typical High
$1.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.79
Median
$0.98
Typical High
$1.10
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$20.89
Typical High
$29.51
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.91
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
$8.51

Where Louisiana 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.

Louisiana· 24th of 51

$8.91

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.