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Ostomy Barrier with Flange, Flat, up to 4x4

Nebraska 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.

Facilitymedian $7 · 10th–90th $3$790%20%10th90th$7Professionalmedian $4 · 10th–90th $2$60%20%40%10th90th$4$0.1$0.5$2.0$10.0$50.0$200.0

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
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$4.47
Typical High
$5.75
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.61
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.47
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$7.94
Typical High
$14.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$9.55
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.47
Typical High
$7.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$18.62
Midlands
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$17.38
Typical High
$18.62
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$4.17
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.31
Typical High
$5.37