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

Montana 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.

Facilitymedian $12 · 10th–90th $8$150%20%10th90th$12Professionalmedian $10 · 10th–90th $3$360%10%10th90th$10$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$9.77
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$12.88
Typical High
$12.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$23.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.02
Typical High
$23.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$9.77
Typical High
$14.79
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$12.88
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.68
Typical High
$4.79
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.25
Typical High
$7.08