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

Nebraska 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?

$8.32

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $12.88 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 7 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$8.32$4.37 to $8.32
FacilityA hospital or hospital-owned outpatient department$12.88$8.13 to $16.22

How much rates vary

Facilitymedian $13 · 10th to 90th $5 to $79Professionalmedian $8 · 10th to 90th $4 to $11
$0.1$1.0$10.0facility $13professional $8

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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$8.32
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$14.79
Typical High
$26.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$17.38
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.31
Typical High
$12.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$33.88
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$31.62
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.59
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$10.00

Where Nebraska sits

The same service costs 2.1 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $8.32 · 26th of 51
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.