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

New Hampshire 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?

$7.08

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $6.46 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$7.08$6.17 to $10.72
FacilityA hospital or hospital-owned outpatient department$6.46$6.46 to $7.76

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $8Professionalmedian $7 · 10th to 90th $5 to $11
$5$10$20facility $6professional $7

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
$6.46
Median
$6.46
Typical High
$7.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$6.03
Typical High
$7.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$19.95
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.68
Typical High
$5.13
United
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.08
Typical High
$10.72
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22

Where New Hampshire 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.

New Hampshire· 43rd of 51

$7.08

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.