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Ostomy Barrier with Flange, Flat, up to 4x4

Washington 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$130%20%10th90th$7Professionalmedian $6 · 10th–90th $3$110%10%10th90th$6$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
$3.89
Median
$3.89
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$30.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.47
Typical High
$5.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.41
Typical High
$14.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.51
Typical High
$14.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.25
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.76
Typical High
$6.92
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.92
Typical High
$8.51
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$11.22
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.03
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.95
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.16
Typical High
$5.62
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$6.03
Typical High
$10.47