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

Missouri 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?

$6.92

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $6.92 for this service. The price depends on where it is billed: about $6.76 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 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$6.76$6.17 to $10.00
FacilityA hospital or hospital-owned outpatient department$10.23$6.46 to $12.59

How much rates vary

Facilitymedian $10 · 10th to 90th $5 to $25Professionalmedian $7 · 10th to 90th $5 to $14
$1.0$2.0$5.0$10.0$20.0$50.0facility $10professional $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
$5.25
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.41
Typical High
$53.70
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.89
Typical High
$5.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.46
Typical High
$11.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$10.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.47
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.17
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$7.94
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$6.17
Typical High
$9.33

Where Missouri 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.

Missouri $6.92 · 46th 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.