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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

New Jersey rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$4.27

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $4.27 for this service. The price depends on where it is billed: about $4.37 from a physician practice, and about $3.47 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 5 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$4.37$3.09 to $4.79
FacilityA hospital or hospital-owned outpatient department$3.47$3.47 to $4.27

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $4 · 10th to 90th $2 to $6
$0.1$0.5$2$10facility $3professional $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
$3.47
Median
$3.47
Typical High
$3.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.47
Typical High
$6.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$9.55
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.39
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.07
Typical High
$6.92

Where New Jersey sits

The same service costs 2.4 times more in Hawaii 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 Jersey· 41st of 51

$4.27

HI $7.76CO $3.24

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.