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Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4

Massachusetts rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$10.72

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $10.72 for this service. The price depends on where it is billed: about $10.72 from a physician practice, and about $11.75 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$10.72$6.03 to $10.72
FacilityA hospital or hospital-owned outpatient department$11.75$5.37 to $32.36

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $79Professionalmedian $11 · 10th to 90th $5 to $16
$10.0$100.0$1.0K$10.0Kfacility $12professional $11

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
$5.37
Median
$5.37
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.03
Typical High
$16.98
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.55
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.71
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$16.22
Health New England
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Health New England
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$12.59
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$9.55
Typical High
$14.79
Tufts
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$5.62
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$10.00
Typical High
$10.96

Where Massachusetts sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $10.72 · 9th of 51
HI $12.59CO $5.50

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.