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

Illinois 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 October 2026.

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

$7.76

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $26.30 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$7.41$6.17 to $9.33
FacilityA hospital or hospital-owned outpatient department$26.30$9.55 to $58.88

How much rates vary

Facilitymedian $26 · 10th to 90th $7 to $100Professionalmedian $7 · 10th to 90th $6 to $14
$5$10$20$50$100facility $26professional $7

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
$5.75
Median
$9.55
Typical High
$12.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$6.92
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.85
Median
$1.02
Typical High
$1.58
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.56
Median
$0.69
Typical High
$1.05
Ambetter
Setting
Professional
Modifier
None
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$32.36
Typical High
$107.15
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$9.33
Typical High
$9.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$7.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$6.31
Typical High
$8.71
Hally Health
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$13.49
Typical High
$21.88
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Molina
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Professional
Modifier
None
Typical Low
$4.79
Median
$6.17
Typical High
$14.45

Where Illinois sits

The same service costs 2.0 times more in Montana than in Florida. 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.

Illinois· 28th of 51

$7.76

MT $12.88FL $6.31

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.