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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

New Mexico 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?

$5.01

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $5.01 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $26.30 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 6 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$2.95 to $5.75
FacilityA hospital or hospital-owned outpatient department$26.30$5.37 to $60.26

How much rates vary

Facilitymedian $26 · 10th to 90th $3 to $87Professionalmedian $4 · 10th to 90th $2 to $8
$10$100$1K$10K$100Kfacility $26professional $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
$5.13
Median
$5.13
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$4.27
Typical High
$30.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$56.23
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.75
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$10.47
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$18.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$5.13
Typical High
$7.94
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.02
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.02
Typical High
$4.57

Where New Mexico 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 Mexico· 21st of 51

$5.01

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.