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

North Carolina 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?

$9.77

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.33 from a physician practice, and about $10.72 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$9.33$7.76 to $10.72
FacilityA hospital or hospital-owned outpatient department$10.72$8.32 to $13.49

How much rates vary

Facilitymedian $11 · 10th to 90th $5 to $23Professionalmedian $9 · 10th to 90th $6 to $11
$0.1$1.0$10.0$100.0facility $11professional $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
$10.72
Median
$10.72
Typical High
$10.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$10.72
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$18.20
Typical High
$24.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.94
Medcost
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$8.71
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$10.72
Typical High
$18.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.94
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.89
Typical High
$8.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20

Where North Carolina 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.

North Carolina $9.77 · 13th 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.