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Ostomy Barrier with Flange, Flat, up to 4x4

Texas 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 $4$200%10%10th90th$7Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$3.47
Median
$4.47
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.47
Typical High
$6.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.17
Typical High
$4.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$19.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.63
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.25
Typical High
$7.08
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$363.08
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$51.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$9.77
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.03
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$5.50
Typical High
$9.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$3.16
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.16
Typical High
$4.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.08
Typical High
$9.55