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

Massachusetts rates for HCPCS A4409

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

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

$7.59

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 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 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$7.59$4.27 to $7.59
FacilityA hospital or hospital-owned outpatient department$7.24$3.80 to $22.91

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $79Professionalmedian $8 · 10th to 90th $4 to $11
$10$100$1K$10Kfacility $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
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.27
Typical High
$12.02
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.08
Typical High
$10.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$6.17
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
$7.59
Median
$7.59
Typical High
$11.48
Health New England
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.51
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.08
Typical High
$10.47
Tufts
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$7.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$3.63
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.08
Typical High
$7.76

Where Massachusetts sits

The same service costs 2.1 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

$7.59

HI $8.91CO $4.17

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.