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

Tennessee 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?

$8.32

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $8.32 for this service. Most negotiated rates run $7.08 to $10.47.

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.

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $9Professionalmedian $8 · 10th to 90th $6 to $71
$5$10$20$50$100facility $8professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$8.51
Typical High
$12.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.07
Median
$1.29
Typical High
$1.82
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.71
Median
$0.85
Typical High
$1.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$10.47
Typical High
$10.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$8.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$6.46
Typical High
$7.94

Where Tennessee 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.

Tennessee· 30th of 51

$8.32

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.