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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 October 2026.

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

$3.80

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $3.80 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $1.91 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.98$2.82 to $4.90
FacilityA hospital or hospital-owned outpatient department$1.91$1.91 to $4.17

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $4 · 10th to 90th $2 to $6
$2$5$10$20$50facility $2professional $4

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
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.28
Median
$0.28
Typical High
$0.32
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.19
Median
$0.19
Typical High
$0.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Molina
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$5.01
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Select Health
Setting
Facility
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Select Health
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$7.08
Typical High
$7.08
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.75
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.95
Typical High
$5.75

Where Utah 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.

Utah· 39th of 51

$3.80

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.