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Ostomy Barrier with Flange, Flat, up to 4x4

Louisiana rates for HCPCS A4414

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Flat, up to 4x4 cost?

$4.47

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $4.47 for this service. The price depends on where it is billed: about $4.47 from a physician practice, and about $5.75 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$4.47$3.72 to $4.90
FacilityA hospital or hospital-owned outpatient department$5.75$4.90 to $11.22

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $17Professionalmedian $4 · 10th to 90th $2 to $5
$2$5$10$20$50$100$200facility $6professional $4

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
$3.98
Median
$4.90
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.47
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.23
Typical High
$14.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$6.61
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.69
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.24
Typical High
$4.17

Where Louisiana sits

The same service costs 2.1 times more in Kansas 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.

Louisiana· 31st of 51

$4.47

KS $7.41CO $3.47

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.