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

Wisconsin 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 $13 · 10th–90th $10$230%20%40%10th90th$13Professionalmedian $12 · 10th–90th $6$210%10%10th90th$12$5.0$10.0$20.0$50.0$100.0

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
$7.41
Median
$7.41
Typical High
$7.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$10.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.02
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$39.81
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$18.62
Typical High
$24.55
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$18.20
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.50
Typical High
$23.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$12.59
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.31
Typical High
$13.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Network Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$25.12
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$18.20
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$12.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$32.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$26.30
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$19.05
Typical High
$64.57
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$5.75
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.31
Typical High
$10.96