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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 July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4 cost?

$8.51

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $12.59 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$8.51$7.08 to $10.47
FacilityA hospital or hospital-owned outpatient department$12.59$7.94 to $79.43

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $85Professionalmedian $9 · 10th to 90th $6 to $12
$5$10$20$50$100facility $13professional $9

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
$7.08
Median
$7.94
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
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
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$6.31
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.46
Typical High
$8.13

Where Tennessee 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.

Tennessee· 39th of 51

$8.51

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.