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

Texas 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 $12 · 10th–90th $7$350%10%20%10th90th$12Professionalmedian $7 · 10th–90th $5$110%20%10th90th$7$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$6.17
Median
$7.94
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.94
Typical High
$10.72
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.41
Typical High
$12.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$13.80
Typical High
$33.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.61
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.00
Typical High
$15.14
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$16.98
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
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$91.20
Typical High
$91.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.00
Typical High
$17.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.72
Typical High
$12.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.12
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$9.77
Typical High
$17.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.62
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$7.41
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$12.59
Typical High
$16.98