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

Oregon 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?

$12.30

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $13.49 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 8 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$7.08 to $13.49
FacilityA hospital or hospital-owned outpatient department$13.49$12.30 to $13.80

How much rates vary

Facilitymedian $13 · 10th to 90th $11 to $14Professionalmedian $10 · 10th to 90th $4 to $15
$5$10$20$50facility $13professional $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
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.08
Typical High
$11.22
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
$7.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$26.30
Typical High
$30.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$14.45
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.22
Typical High
$15.14
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$13.80
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.80
Typical High
$13.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$12.02
Typical High
$16.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$13.18
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.37
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.89
Typical High
$11.22

Where Oregon 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.

Oregon· 7th of 51

$12.30

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.