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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.

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

$10.96

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $10.47 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 8 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$10.96$6.17 to $10.96
FacilityA hospital or hospital-owned outpatient department$10.47$5.50 to $33.11

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $79Professionalmedian $11 · 10th to 90th $5 to $17
$10.0$100.0$1.0K$10.0Kfacility $10professional $11

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
$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

Where Massachusetts sits

The same service costs 2.1 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $10.96 · 11th of 51
WI $12.88CO $6.17

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.