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

Rhode Island 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?

$7.24

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $25.70 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 4 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$7.24$6.03 to $8.91
FacilityA hospital or hospital-owned outpatient department$25.70$19.95 to $29.51

How much rates vary

Facilitymedian $26 · 10th to 90th $7 to $32Professionalmedian $7 · 10th to 90th $6 to $10
$5.0$10.0$20.0$50.0facility $26professional $7

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.24
Typical High
$12.02
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
United
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.94
Typical High
$11.48

Where Rhode Island sits

The same service costs 2.0 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $7.24 · 47th of 51
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.