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

South 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 July 2026.

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

$11.48

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $11.48 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $13.49 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$10.96$8.71 to $14.79
FacilityA hospital or hospital-owned outpatient department$13.49$9.12 to $14.45

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $17Professionalmedian $11 · 10th to 90th $8 to $18
$5$10$20$50facility $13professional $11

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
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.71
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$14.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$18.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$13.80
Typical High
$23.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.13
Typical High
$63.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$13.80
Typical High
$13.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$22.91
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$16.60
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.89
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$8.32
Typical High
$14.79
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23

Where South Dakota 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.

South Dakota· 6th of 51

$11.48

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.