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

Rhode Island 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?

$6.46

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $6.46 for this service. The price depends on where it is billed: about $6.31 from a physician practice, and about $22.39 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 4 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$6.31$5.37 to $7.94
FacilityA hospital or hospital-owned outpatient department$22.39$17.78 to $25.70

How much rates vary

Facilitymedian $22 · 10th to 90th $6 to $28Professionalmedian $6 · 10th to 90th $5 to $9
$5.0$10.0$20.0$50.0facility $22professional $6

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.37
Typical High
$9.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$24.55
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$6.46
Typical High
$10.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.46
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.08
Typical High
$10.23

Where Rhode Island 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.

Rhode Island $6.46 · 47th 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.