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

Montana 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 $13 · 10th–90th $9$170%20%10th90th$13Professionalmedian $12 · 10th–90th $5$600%10%10th90th$12$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
$3.80
Median
$10.96
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$14.45
Typical High
$14.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$14.45
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$26.30
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$13.49
Typical High
$26.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$10.96
Typical High
$16.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$14.45
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.37
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.89
Typical High
$7.94