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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.

Facilitymedian $7 · 10th–90th $5$90%50%10th90th$7Professionalmedian $8 · 10th–90th $6$120%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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