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

New Hampshire 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?

$8.32

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $7.24 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$8.32$6.92 to $12.02
FacilityA hospital or hospital-owned outpatient department$7.24$7.24 to $8.71

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $9Professionalmedian $8 · 10th to 90th $6 to $12
$5$10$20facility $7professional $8

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
$7.24
Median
$7.24
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.24
Typical High
$8.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.24
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
$8.51
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$22.39
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.94
Typical High
$12.02
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$18.20

Where New Hampshire 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.

New Hampshire· 41st of 51

$8.32

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.