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Ostomy Barrier with Flange, Flat, up to 4x4

Wisconsin 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 $6$130%50%10th90th$7Professionalmedian $6 · 10th–90th $4$120%10%10th90th$6$2.0$5.0$10.0$20.0$50.0$100.0

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
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$11.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.46
Typical High
$7.76
CareSource
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$21.38
Typical High
$35.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$10.00
Typical High
$13.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.89
Typical High
$10.00
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.59
Typical High
$15.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$6.92
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.47
Typical High
$7.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Network Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.94
Typical High
$13.80
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$5.89
Typical High
$10.00
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.92
Quartz
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.47
Typical High
$16.98
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$14.13
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$10.47
Typical High
$34.67
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$3.16
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.47
Typical High
$5.89