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

Tennessee 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 $11 · 10th–90th $5$850%20%40%10th90th$11Professionalmedian $8 · 10th–90th $4$110%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
$6.31
Median
$7.08
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.59
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$8.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.41
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.62
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.75
Typical High
$7.24