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

West Virginia 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?

$7.59

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $6.76 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 5 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$7.59$6.76 to $7.59
FacilityA hospital or hospital-owned outpatient department$6.76$6.76 to $7.76

How much rates vary

Facilitymedian $7 · 10th to 90th $7 to $17Professionalmedian $8 · 10th to 90th $3 to $8
$5$10$20$50facility $7professional $8

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
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$7.59
Typical High
$8.32
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$12.30
Typical High
$16.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.79
Typical High
$20.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$16.98
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$60.26
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
United
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$7.94
United
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$7.08
Typical High
$10.47

Where West Virginia 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.

West Virginia· 37th of 51

$7.59

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.