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

Virginia 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?

$5.37

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $6.76 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 8 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$5.37$4.37 to $6.03
FacilityA hospital or hospital-owned outpatient department$6.76$5.75 to $9.12

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $15Professionalmedian $5 · 10th to 90th $4 to $8
$10$100$1K$10Kfacility $7professional $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
$5.37
Median
$5.37
Typical High
$5.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$5.37
Typical High
$6.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$9.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.91
Typical High
$12.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.17
Typical High
$9.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.31
Typical High
$10.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.37
Typical High
$5.75
Sentara
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$7.76
Typical High
$30.90
Sentara
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$25.70
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.39
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.37
Typical High
$6.92

Where Virginia 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.

Virginia· 34th of 51

$5.37

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.