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

Washington 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.

Facilitymedian $12 · 10th–90th $7$240%20%10th90th$12Professionalmedian $10 · 10th–90th $5$210%10%20%10th90th$10$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$16.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.08
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$9.12
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.94
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$7.59
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$13.80
Typical High
$26.92
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$15.85
Typical High
$25.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$9.77
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$12.30
Typical High
$12.59
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$15.85
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$20.42
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$12.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.96
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.37
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$10.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$10.96
Typical High
$19.50