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

Massachusetts rates for HCPCS A4410

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $5$790%20%10th90th$10Professionalmedian $11 · 10th–90th $5$170%20%40%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.61
Typical High
$17.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.47
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.91
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
$10.96
Median
$10.96
Typical High
$16.60
Health New England
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.30
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.47
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$5.75
Typical High
$12.88
United
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$10.47
Typical High
$11.22