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Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4

Arkansas rates for HCPCS A4407

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each

Rates data updated July 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$9.33

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $9.33 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $398,107 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 7 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$7.41$5.62 to $9.77
FacilityA hospital or hospital-owned outpatient department$398,107$151,356 to $794,328

How much rates vary

Facilitymedian $398,107 · 10th to 90th $10 to $933,254Professionalmedian $7 · 10th to 90th $3 to $11
$10$100$1K$10K$100K$1Mfacility $398,107professional $7

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
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$9.33
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$16.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$6.31
Typical High
$7.76
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.25
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.50
Typical High
$7.94

Where Arkansas sits

The same service costs 2.3 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.

Arkansas· 17th of 51

$9.33

HI $12.59CO $5.50

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.