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

Minnesota 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?

$8.71

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $26.30 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 6 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$8.71$7.08 to $8.71
FacilityA hospital or hospital-owned outpatient department$26.30$9.55 to $38.02

How much rates vary

Facilitymedian $26 · 10th to 90th $5 to $71Professionalmedian $9 · 10th to 90th $5 to $10
$5$10$20$50$100facility $26professional $9

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
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$5.50
Typical High
$7.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$10.23
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$33.11
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$12.88
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$36.31
Typical High
$70.79
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$8.71
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.17
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.39
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.37
Typical High
$12.02

Where Minnesota 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.

Minnesota· 3rd of 51

$8.71

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.