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

Kentucky 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?

$6.46

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.46 from a physician practice, and about $9.12 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$6.46$6.17 to $7.76
FacilityA hospital or hospital-owned outpatient department$9.12$6.31 to $16.60

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $17Professionalmedian $6 · 10th to 90th $5 to $10
$0.1$0.5$2.0$10.0$50.0facility $9professional $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
Facility
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.59
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.61
CareSource
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$16.60
Typical High
$21.38
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.14
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.13
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.12
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$4.79
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.89
Typical High
$7.59

Where Kentucky sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Kentucky $6.46 · 48th of 51
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.