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Ostomy Barrier, Solid 4x4, Standard Wear, Convex

Montana rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$70%20%40%10th90th$6Professionalmedian $5 · 10th–90th $2$70%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.75
Typical High
$5.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$6.17
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$5.01
Typical High
$6.17
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$11.22
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.75
Typical High
$11.22
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$5.50
Typical High
$7.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$6.17
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.24
Typical High
$2.29
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.45
Typical High
$3.31