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Ostomy Barrier with Flange, Extended Wear, Flat, up to 4x4

Arkansas rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Flat, up to 4x4 cost?

$6.61

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $398,107 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 7 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$5.25$4.37 to $7.08
FacilityA hospital or hospital-owned outpatient department$398,107$151,356 to $794,328

How much rates vary

Facilitymedian $398,107 · 10th to 90th $7 to $933,254Professionalmedian $5 · 10th to 90th $2 to $8
$10$100$1K$10K$100K$1Mfacility $398,107professional $5

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
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$6.61
Typical High
$7.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$12.02
CareSource
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.25
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.47
Typical High
$5.50
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.72
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.89
Typical High
$5.62

Where Arkansas sits

The same service costs 2.1 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.

Arkansas· 18th of 51

$6.61

HI $8.91CO $4.17

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.