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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 July 2026.

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

$11.75

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $11.75 for this service. The price depends on where it is billed: about $11.22 from a physician practice, and about $13.18 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 8 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$11.22$8.32 to $14.13
FacilityA hospital or hospital-owned outpatient department$13.18$8.91 to $14.13

How much rates vary

Facilitymedian $13 · 10th to 90th $7 to $17Professionalmedian $11 · 10th to 90th $8 to $18
$5$10$20$50facility $13professional $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. 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
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.32
Typical High
$16.60
Avera
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$13.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$13.18
Typical High
$22.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$7.76
Typical High
$61.66
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$13.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$21.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.30
Typical High
$16.22
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$5.75
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$8.13
Typical High
$14.45
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00

Where South Dakota 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.

South Dakota· 4th of 51

$11.75

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.