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Ostomy Barrier with Flange, Flat, up to 4x4

Maryland 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 October 2026.

How much does Ostomy Barrier with Flange, Flat, up to 4x4 cost?

$4.17

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $4.17 for this service. Most negotiated rates run $3.47 to $4.68.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $4 · 10th to 90th $3 to $5
$2$5$10facility $4professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$4.27
Typical High
$4.68
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.50
Median
$0.65
Typical High
$0.71
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.33
Median
$0.43
Typical High
$0.46
CareFirst
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.68
Typical High
$4.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$7.08
Typical High
$10.47
United
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$3.47
Typical High
$5.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$6.03

Where Maryland sits

The same service costs 2.1 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 31st of 51

$4.17

KS $7.41CO $3.55

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.