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

Maryland 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?

$5.75

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $5.75 for this service. Most negotiated rates run $4.47 to $5.89.

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.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $9Professionalmedian $6 · 10th to 90th $4 to $8
$0.1$0.5$2$10facility $3professional $6

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
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.75
Typical High
$7.59
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.91
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.39
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.37
Typical High
$6.92
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$7.59

Where Maryland 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.

Maryland· 25th of 51

$5.75

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.