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

Texas 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.

Facilitymedian $12 · 10th–90th $7$380%10%20%10th90th$12Professionalmedian $8 · 10th–90th $6$120%20%10th90th$8$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$8.91
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.91
Typical High
$12.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$9.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$13.80
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$7.41
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$11.22
Typical High
$15.49
Christus
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$19.05
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
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$102.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$11.48
Typical High
$19.50
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.02
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$10.96
Typical High
$19.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$6.31
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.31
Typical High
$8.32
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$14.13
Typical High
$19.05