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

North Carolina 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?

$10.96

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $12.02 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.47$9.12 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.02$9.55 to $15.49

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $26Professionalmedian $10 · 10th to 90th $7 to $12
$5$10$20$50facility $12professional $10

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$12.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$27.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.91
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.92
Typical High
$9.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.02
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$8.91
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.61
Typical High
$9.77
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$102.33

Where North Carolina 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.

North Carolina· 14th of 51

$10.96

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.