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

Michigan 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?

$9.12

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $9.12 for this service. The price depends on where it is billed: about $8.91 from a physician practice, and about $14.45 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 8 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$8.91$5.89 to $12.30
FacilityA hospital or hospital-owned outpatient department$14.45$9.33 to $36.31

How much rates vary

Facilitymedian $14 · 10th to 90th $6 to $56Professionalmedian $9 · 10th to 90th $4 to $12
$0.1$1.0$10.0$100.0facility $14professional $9

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
$9.33
Median
$9.33
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.59
Typical High
$9.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.30
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$37.15
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$14.79
Typical High
$23.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.98
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$8.71
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$9.33
Typical High
$25.70
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$9.77
Typical High
$15.14
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.79
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.75
Typical High
$8.71

Where Michigan 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.

Michigan $9.12 · 18th 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.