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

North Dakota 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?

$11.22

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $11.22 for this service. The price depends on where it is billed: about $11.48 from a physician practice, and about $8.91 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 5 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$11.48$8.91 to $13.49
FacilityA hospital or hospital-owned outpatient department$8.91$7.76 to $8.91

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $15Professionalmedian $11 · 10th to 90th $5 to $15
$5.0$10.0$20.0$50.0facility $9professional $11

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
$7.76
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$7.76
Typical High
$46.77
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$13.49
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$14.13
Typical High
$17.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$10.47
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.41
Typical High
$14.45

Where North Dakota 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 Dakota $11.22 · 6th 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.