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

West Virginia 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?

$7.76

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $6.92 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 5 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$7.76$6.92 to $8.13
FacilityA hospital or hospital-owned outpatient department$6.92$6.92 to $6.92

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $17Professionalmedian $8 · 10th to 90th $6 to $9
$5$10$20$50facility $7professional $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. 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
$6.92
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.76
Typical High
$8.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.55
Typical High
$16.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$61.66
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$8.32
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.24
Typical High
$10.96

Where West Virginia 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.

West Virginia· 39th of 51

$7.76

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.