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

Nevada 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?

$5.89

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $5.89 from a physician practice, and about $7.59 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$5.89$4.47 to $7.41
FacilityA hospital or hospital-owned outpatient department$7.59$7.59 to $7.59

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $8Professionalmedian $6 · 10th to 90th $2 to $11
$0.1$0.5$2$10facility $8professional $6

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
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$5.89
Typical High
$38.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.47
Typical High
$5.75
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$15.14
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.94
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$0.06
Median
$3.39
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$9.55

Where Nevada 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.

Nevada· 24th of 51

$5.89

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.