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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 October 2026.

How much does Ostomy Barrier, Solid 4x4, Standard Wear, Convex cost?

$6.17

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $6.17 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.17$4.57 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.17$6.03 to $339

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $347Professionalmedian $6 · 10th to 90th $2 to $79
$5$10$20$50$100$200facility $6professional $6

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.58
Median
$5.01
Typical High
$7.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$5.50
Median
$6.17
Typical High
$6.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$6.17
Typical High
$6.17
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$4.47
Median
$7.41
Typical High
$354.81
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.61
Typical High
$363.08
Providence
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$6.17
Typical High
$6.17
Providence
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$6.17
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.45
Typical High
$4.17

Where Montana sits

The same service costs 3.2 times more in Kansas than in New Hampshire. 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.

Montana· 3rd of 51

$6.17

KS $9.33NH $2.95

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.