go back

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

Washington 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 $13 · 10th–90th $8$260%20%10th90th$13Professionalmedian $11 · 10th–90th $6$230%10%10th90th$11$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
$7.76
Median
$7.76
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.76
Typical High
$60.26
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$8.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$14.79
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$16.98
Typical High
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$10.47
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$13.49
Typical High
$13.80
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.80
Typical High
$13.80
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$22.39
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$13.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.02
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$5.89
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.31
Typical High
$11.22
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$12.02
Typical High
$20.89