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Ostomy Barrier with Flange, Extended Wear, Flat, over 4x4

Missouri rates for HCPCS A4410

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

Rates data updated July 2026.

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

$7.24

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $10.47 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$7.08$6.31 to $10.23
FacilityA hospital or hospital-owned outpatient department$10.47$6.76 to $12.88

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $26Professionalmedian $7 · 10th to 90th $5 to $15
$5$10$20$50facility $10professional $7

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
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$8.13
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$12.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$11.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$10.72
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.31
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$8.13
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$9.55

Where Missouri sits

The same service costs 2.1 times more in Wisconsin 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.

Missouri· 46th of 51

$7.24

WI $12.88CO $6.17

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.