go back

Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4

Massachusetts rates for HCPCS A4408

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

Rates data updated July 2026.

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

$12.02

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $12.02 for this service. The price depends on where it is billed: about $12.02 from a physician practice, and about $11.48 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$12.02$6.76 to $12.02
FacilityA hospital or hospital-owned outpatient department$11.48$6.03 to $36.31

How much rates vary

Facilitymedian $11 · 10th to 90th $6 to $79Professionalmedian $12 · 10th to 90th $6 to $18
$10$100$1K$10Kfacility $11professional $12

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
$6.03
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.24
Typical High
$19.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.49
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$9.77
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
$12.02
Median
$12.02
Typical High
$18.20
Health New England
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.49
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$16.60
Tufts
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$11.48
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.89
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$11.48
Typical High
$12.30

Where Massachusetts sits

The same service costs 2.0 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.

Massachusetts· 9th of 51

$12.02

HI $14.13CO $6.92

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.