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Ostomy Barrier with Flange, Flat, up to 4x4

Missouri 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?

$3.98

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.89 from a physician practice, and about $5.89 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$3.89$3.47 to $5.62
FacilityA hospital or hospital-owned outpatient department$5.89$3.63 to $7.08

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $14Professionalmedian $4 · 10th to 90th $3 to $8
$2$5$10$20$50facility $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
$2.95
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$4.47
Typical High
$30.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$6.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$7.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.89
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.47
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$4.47
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.47
Typical High
$5.37

Where Missouri 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.

Missouri· 45th of 51

$3.98

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.