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

Utah 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?

$7.41

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $3.39 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$7.41$5.25 to $8.91
FacilityA hospital or hospital-owned outpatient department$3.39$3.39 to $7.41

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $7 · 10th to 90th $3 to $11
$5$10$20facility $3professional $7

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
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.50
Median
$0.50
Typical High
$0.56
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.34
Median
$0.34
Typical High
$0.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$7.41
Median
$7.41
Typical High
$7.94
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$6.31
Typical High
$7.41
Molina
Setting
Professional
Modifier
None
Typical Low
$8.91
Median
$8.91
Typical High
$12.02
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Select Health
Setting
Facility
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Select Health
Setting
Professional
Modifier
None
Typical Low
$6.31
Median
$12.59
Typical High
$12.59
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$8.13
Median
$10.23
Typical High
$15.14
United
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$5.25
Typical High
$10.23

Where Utah 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.

Utah· 36th of 51

$7.41

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.