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

North Dakota 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?

$13.18

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $13.18 from a physician practice, and about $10.00 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$13.18$10.00 to $15.49
FacilityA hospital or hospital-owned outpatient department$10.00$10.00 to $10.23

How much rates vary

Facilitymedian $10 · 10th to 90th $9 to $30Professionalmedian $13 · 10th to 90th $6 to $16
$5$10$20$50facility $10professional $13

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
$10.00
Median
$10.00
Typical High
$10.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$10.00
Typical High
$10.23
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$15.49
Typical High
$15.49
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$14.13
Median
$18.62
Typical High
$18.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$16.22
Typical High
$19.95
Medica
Setting
Facility
Modifier
None
Typical Low
$6.76
Median
$10.00
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$6.46
Typical High
$11.22
United
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$6.46
Typical High
$11.22

Where North Dakota 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.

North Dakota· 8th of 51

$13.18

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.