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Ostomy Barrier, Solid 4x4, Extended Wear, Flat

Montana rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$6.17

Typical negotiated rate. In Montana, July 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 $6.92 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.17$3.31 to $6.92
FacilityA hospital or hospital-owned outpatient department$6.92$5.89 to $6.92

How much rates vary

Facilitymedian $7 · 10th to 90th $5 to $9Professionalmedian $6 · 10th to 90th $2 to $21
$2$5$10$20$50facility $7professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$5.75
Typical High
$30.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$7.41
Typical High
$7.41
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$13.49
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.92
Typical High
$13.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$6.61
Typical High
$8.51
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.41
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.75
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.02
Typical High
$4.07

Where Montana sits

The same service costs 2.4 times more in Hawaii than in Colorado. 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· 11th of 51

$6.17

HI $7.76CO $3.24

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.