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

South 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 October 2026.

How much does Ostomy Barrier with Flange, Extended Wear, Convex, up to 4x4 cost?

$10.23

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $14.13 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$8.13 to $13.49
FacilityA hospital or hospital-owned outpatient department$14.13$8.91 to $14.13

How much rates vary

Facilitymedian $14 · 10th to 90th $8 to $23Professionalmedian $10 · 10th to 90th $5 to $16
$5$10$20$50facility $14professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$8.32
Typical High
$12.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$13.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$14.13
Typical High
$17.78
Medica
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$14.13
Typical High
$22.91
Medica
Setting
Professional
Modifier
None
Typical Low
$4.90
Median
$7.08
Typical High
$61.66
Midlands
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$21.88
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$10.47
Median
$12.30
Typical High
$14.13
United
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$5.75
Typical High
$9.12
Wellmark
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where South Dakota sits

The same service costs 2.0 times more in Montana than in Florida. 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.

South Dakota· 13th of 51

$10.23

MT $12.88FL $6.31

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.