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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.

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

$10.47

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $10.47 for this service. The price depends on where it is billed: about $10.47 from a physician practice, and about $12.02 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$10.47$5.75 to $12.02
FacilityA hospital or hospital-owned outpatient department$12.02$9.33 to $12.88

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $15Professionalmedian $10 · 10th to 90th $3 to $36
$5$10$20$50facility $12professional $10

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
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

Where Montana 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.

Montana· 10th of 51

$10.47

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.