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Ostomy Barrier with Flange, Flat, up to 4x4

Massachusetts rates for HCPCS A4414

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $3$790%20%10th90th$6Professionalmedian $6 · 10th–90th $3$90%20%40%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.63
Typical High
$9.55
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.76
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$5.62
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.90
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
$6.03
Median
$6.03
Typical High
$9.12
Health New England
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Health New England
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.76
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$5.62
Typical High
$8.32
Tufts
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$2.95
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$5.75
Typical High
$6.17