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

South 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.

Facilitymedian $10 · 10th–90th $6$170%20%10th90th$10Professionalmedian $9 · 10th–90th $5$110%20%10th90th$9$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$9.77
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$12.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$7.41
Typical High
$7.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$16.60
Medcost
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$7.94
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.96
Typical High
$19.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.79
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.89
Typical High
$7.94