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Ostomy Barrier with Flange, Flat, over 4x4

Massachusetts rates for HCPCS A4415

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

Rates data updated July 2026.

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

$7.41

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $6.92 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 8 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$7.41$4.07 to $7.41
FacilityA hospital or hospital-owned outpatient department$6.92$3.63 to $22.91

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $79Professionalmedian $7 · 10th to 90th $4 to $11
$10$100$1K$10Kfacility $7professional $7

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
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.37
Typical High
$12.88
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$8.13
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.92
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.01
Typical High
$6.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.89
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
$7.41
Median
$7.41
Typical High
$10.96
Health New England
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
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
$7.94
Median
$8.13
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.92
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$6.76
Typical High
$7.41

Where Massachusetts sits

The same service costs 2.0 times more in Hawaii 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.

Massachusetts· 8th of 51

$7.41

HI $8.51CO $4.17

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.