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Ostomy Barrier with Flange, Flat, up to 4x4

Virginia 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.

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

$4.27

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $5.37 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.27$3.47 to $4.79
FacilityA hospital or hospital-owned outpatient department$5.37$4.57 to $7.08

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $12Professionalmedian $4 · 10th to 90th $3 to $6
$10$100$1K$10Kfacility $5professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.27
Typical High
$5.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$7.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.08
Typical High
$9.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.90
Typical High
$7.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.01
Typical High
$8.51
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$4.57
Sentara
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$6.17
Typical High
$23.99
Sentara
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$6.03
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.69
Typical High
$3.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.47
Typical High
$5.37

Where Virginia 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.

Virginia· 37th of 51

$4.27

KS $7.41CO $3.47

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.