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Ostomy Barrier, Solid 4x4, Standard Wear, Convex

Pennsylvania 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?

$3.63

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $4.07 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.63$2.95 to $5.62
FacilityA hospital or hospital-owned outpatient department$4.07$3.80 to $21.38

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $40Professionalmedian $4 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $4professional $4

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
Facility
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$3.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.43
Median
$0.54
Typical High
$0.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.28
Median
$0.36
Typical High
$0.36
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$3.24
Typical High
$3.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$8.71
Typical High
$10.00
Geisinger
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Geisinger
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$4.17
Typical High
$6.03
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$3.63
Typical High
$3.63
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.43
Median
$0.54
Typical High
$0.54
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.28
Median
$0.36
Typical High
$0.36
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$8.32
Typical High
$8.91
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$4.17
Median
$19.05
Typical High
$32.36
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$2.24
Median
$2.95
Typical High
$4.90

Where Pennsylvania 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.

Pennsylvania· 23rd of 51

$3.63

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.