HCPCS A4404

Ostomy ring, each

HCPCS A4404 pays $2.31 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $2.03 in Tennessee to $2.60 in Hawaii, a 28% spread.

Average state fee

$2.31

Non-rural

Highest state
$2.60

Hawaii

Lowest state
$2.03

Tennessee · 28% spread

Medicare rate by state

53 Medicare jurisdictions, highest to lowest. State fees from the 2026 Q4 DMEPOS fee schedule, non-rural.

State feeAverage $2.31
HCPCS A4404 Medicare state fee by state, 2026 Q4 Medicare DMEPOS Fee Schedule. Average $2.31.
StateRate compared visuallyState fee
Hawaii
$2.60
Puerto Rico
$2.56
Alaska
$2.43
Arkansas
$2.39
California
$2.39
Colorado
$2.39
Connecticut
$2.39
Florida
$2.39
Georgia
$2.39
Idaho
$2.39
Illinois
$2.39
Kansas
$2.39
Louisiana
$2.39
Massachusetts
$2.39
Michigan
$2.39
Minnesota
$2.39
Missouri
$2.39
Montana
$2.39
Nebraska
$2.39
New Mexico
$2.39
New York
$2.39
North Dakota
$2.39
Oklahoma
$2.39
South Carolina
$2.39
Texas
$2.39
Utah
$2.39
Virgin Islands
$2.39
Virginia
$2.39
Washington
$2.39
Wisconsin
$2.39
Wyoming
$2.39
Indiana
$2.37
Nevada
$2.32
New Hampshire
$2.31
Rhode Island
$2.31
Delaware
$2.27
District of Columbia
$2.27
Maryland
$2.27
Pennsylvania
$2.27
New Jersey
$2.19
Ohio
$2.19
West Virginia
$2.19
Arizona
$2.18
Vermont
$2.15
Kentucky
$2.12
Mississippi
$2.09
South Dakota
$2.09
Alabama
$2.03
Iowa
$2.03
Maine
$2.03
North Carolina
$2.03
Oregon
$2.03
Tennessee
$2.03

Understanding this rate

Here is how the Medicare DMEPOS Fee Schedule arrives at the HCPCS A4404 amount above, and what it does and doesn't cover.

How DME is paid

Durable medical equipment, prosthetics, orthotics and supplies are paid from the DMEPOS Fee Schedule, which sets a fee per state, with separate rural and non-rural amounts.

What this page shows

Non-rural fees. Purchase (NU, UE) and rental (RR) of the same item carry different fees.

Medicare is the floor, not the market

Commercial payers set their own negotiated rates, and routinely pay above or below the Medicare amount for the same code. See how UHC, Aetna, Cigna and BCBS actually price A4404.

This page reflects the 2026 Q4 CMS DMEPOS Fee Schedule, effective 2026-10-01. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.

Data sources

Related DME, Prosthetics, Orthotics and Supplies

A4361Ostomy FaceplateA4362Skin Barrier, Solid, 4x4 Or Equivalent, EachA4363Ostomy Clamp, Any Type, Replacement OnlyA4367Ostomy Belt, EachA4371Ostomy Skin Barrier, Powder, Per OzA4375Ostomy Pouch, Drainable, With Faceplate Attached, Plastic, EachA4383Ostomy Pouch, Drainable, For Use On Barrier With Flange, Rubber, EachA4396Ostomy Belt With Peristomal Hernia Support

See what other providers in your market negotiated for A4404

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated ratesSee the market benchmarkSchedule a Demo