go back

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

New Hampshire 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?

$7.24

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $6.61 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 6 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$6.31 to $10.96
FacilityA hospital or hospital-owned outpatient department$6.61$6.61 to $7.94

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $8Professionalmedian $8 · 10th to 90th $5 to $11
$5.0$10.0$20.0$50.0facility $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
$6.61
Median
$6.61
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.61
Typical High
$7.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.76
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
$7.94
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$20.42
United
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$4.90
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$7.24
Typical High
$10.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.60

Where New Hampshire 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.

New Hampshire $7.24 · 45th 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.