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

Nevada 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?

$8.51

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $8.51 for this service. The price depends on where it is billed: about $8.51 from a physician practice, and about $10.96 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$8.51$6.46 to $10.96
FacilityA hospital or hospital-owned outpatient department$10.96$10.96 to $10.96

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $11Professionalmedian $9 · 10th to 90th $3 to $16
$0.1$0.5$2.0$10.0$50.0facility $11professional $9

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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$9.55
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.76
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$7.94
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.22
Typical High
$21.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$11.48
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.08
Median
$4.90
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.76
Typical High
$14.13

Where Nevada 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.

Nevada $8.51 · 25th 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.