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

Utah 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 $4 · 10th–90th $4$80%50%90th$4Professionalmedian $10 · 10th–90th $4$600%10%10th90th$10$0.1$0.5$2.0$10.0$50.0

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
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$8.91
Typical High
$60.26
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
$9.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.00
Typical High
$13.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$9.77
Typical High
$15.49
Select Health
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.13
Typical High
$14.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.37
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.89
Typical High
$9.33