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

North Dakota 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 October 2026.

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

$12.02

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $9.12 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.02$9.12 to $14.13
FacilityA hospital or hospital-owned outpatient department$9.12$9.12 to $9.33

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $28Professionalmedian $12 · 10th to 90th $5 to $15
$5$10$20$50facility $9professional $12

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.72
Median
$9.12
Typical High
$9.33
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$10.72
Median
$14.13
Typical High
$14.13
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$12.88
Median
$16.98
Typical High
$16.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$7.94
Median
$14.79
Typical High
$18.20
Medica
Setting
Facility
Modifier
None
Typical Low
$6.17
Median
$9.12
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$5.01
Median
$5.89
Typical High
$10.23
United
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$5.89
Typical High
$10.23

Where North Dakota sits

The same service costs 2.1 times more in Idaho than in New Jersey. 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.

North Dakota· 8th of 51

$12.02

ID $13.49NJ $6.46

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.