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

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $5.89 for this service. Most negotiated rates run $5.01 to $7.08.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $5Professionalmedian $6 · 10th to 90th $5 to $8
$5$10$20facility $4professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$5.89
Typical High
$8.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
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
$5.37
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.02
Typical High
$3.98
United
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$5.37
Typical High
$17.38

Where Vermont 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.

Vermont· 23rd 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.