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Ostomy Barrier, Solid 4x4, Standard Wear, Convex

Utah 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?

$3.24

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $3.24 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $1.58 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.24$2.45 to $4.17
FacilityA hospital or hospital-owned outpatient department$1.58$1.58 to $3.80

How much rates vary

Facilitymedian $2 · 10th to 90th $2 to $4Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50facility $2professional $3

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
Aetna
Setting
Professional
Modifier
None
Typical Low
$1.58
Median
$1.58
Typical High
$1.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.24
Median
$0.24
Typical High
$0.27
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.16
Median
$0.16
Typical High
$0.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.80
Median
$3.80
Typical High
$4.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$3.24
Typical High
$3.80
Molina
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$4.27
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
Select Health
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Select Health
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$6.03
Typical High
$6.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$3.89
Median
$4.90
Typical High
$7.24
United
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$2.45
Typical High
$4.90

Where Utah 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.

Utah· 36th of 51

$3.24

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.