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

Louisiana 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?

$7.94

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.76 from a physician practice, and about $10.23 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$7.76$6.31 to $8.71
FacilityA hospital or hospital-owned outpatient department$10.23$8.71 to $19.95

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $31Professionalmedian $8 · 10th to 90th $3 to $10
$5$10$20$50$100$200facility $10professional $8

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
$7.08
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.94
Typical High
$9.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$11.75
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.79
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.75
Typical High
$7.41

Where Louisiana 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.

Louisiana· 28th of 51

$7.94

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.