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Ostomy Barrier, Solid 4x4, Standard Wear, Convex

New York rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Standard Wear, Convex cost?

$3.31

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $4.27 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 9 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$3.24$2.95 to $5.01
FacilityA hospital or hospital-owned outpatient department$4.27$3.63 to $5.50

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $8Professionalmedian $3 · 10th to 90th $3 to $8
$10$100$1K$10Kfacility $4professional $3

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
$2.51
Median
$3.63
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.63
Typical High
$5.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.09
Typical High
$8.32
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$4.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.24
Typical High
$3.24
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.77
Typical High
$22.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.31
Typical High
$11.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.47
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.75
Typical High
$6.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.51
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.89
Typical High
$10.00
Univera
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.27
Typical High
$4.47
Univera
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27

Where New York sits

The same service costs 3.5 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.

New York· 45th of 51

$3.31

KS $9.33CO $2.63

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.