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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.

Facilitymedian $7 · 10th–90th $5$80%50%10th90th$7Professionalmedian $8 · 10th–90th $5$110%20%10th90th$8$5.0$10.0$20.0$50.0

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
$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