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

Wisconsin 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 $14 · 10th–90th $11$260%50%10th90th$14Professionalmedian $13 · 10th–90th $7$230%10%10th90th$13$5.0$10.0$20.0$50.0$100.0

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
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$12.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$23.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$43.65
Typical High
$72.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$20.42
Typical High
$26.92
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$19.95
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$18.20
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$13.80
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.92
Typical High
$15.14
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Network Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$15.85
Typical High
$27.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.02
Typical High
$19.95
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$13.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$20.89
Typical High
$35.48
Quartz
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$28.84
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$20.89
Typical High
$70.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Security Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$6.31
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.92
Typical High
$11.75