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Ostomy Barrier with Flange, Flat, up to 4x4

New Hampshire 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 $4 · 10th–90th $3$40%50%10th90th$4Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$2.0$5.0$10.0$20.0

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
$3.63
Median
$3.63
Typical High
$4.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.63
Typical High
$4.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.63
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
$4.47
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$11.22
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.63
Typical High
$2.88
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.98
Typical High
$6.03
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$12.30