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Ostomy Barrier with Flange, Flat, up to 4x4

North Dakota 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 October 2026.

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

$6.61

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $5.01 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.61$5.01 to $7.76
FacilityA hospital or hospital-owned outpatient department$5.01$5.01 to $5.13

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $15Professionalmedian $7 · 10th to 90th $3 to $8
$2$5$10$20$50facility $5professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$5.01
Typical High
$5.13
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$7.76
Typical High
$7.76
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$6.92
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$7.94
Typical High
$9.77
Medica
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$5.01
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$2.75
Median
$3.24
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$3.24
Typical High
$5.62

Where North Dakota 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.

North Dakota· 7th of 51

$6.61

KS $7.41CO $3.55

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.