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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 October 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$12.88

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $13.49 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.88$9.55 to $12.88
FacilityA hospital or hospital-owned outpatient department$13.49$12.59 to $708

How much rates vary

Facilitymedian $13 · 10th to 90th $9 to $724Professionalmedian $13 · 10th to 90th $5 to $79
$5$20$100$500facility $13professional $13

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$9.77
Typical High
$10.72
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$11.48
Median
$12.88
Typical High
$12.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$12.88
Typical High
$12.88
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$15.49
Typical High
$724.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$13.80
Typical High
$758.58
Providence
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$12.88
Typical High
$12.88
Providence
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$12.88
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$5.25
Typical High
$8.71

Where Montana sits

The same service costs 2.0 times more in Montana than in Florida. 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.

Montana· 1st of 51

$12.88

MT $12.88FL $6.31

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.