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Ostomy Barrier with Flange, Flat, up to 4x4

Utah 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 $2 · 10th–90th $2$40%50%90th$2Professionalmedian $5 · 10th–90th $2$300%10%10th90th$5$0.1$0.5$2.0$10.0$50.0

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
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$4.47
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.01
Typical High
$6.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.90
Typical High
$7.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$7.08
Typical High
$7.08
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.08
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.69
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.95
Typical High
$5.01