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Ostomy Barrier with Flange, Extended Wear, Convex, over 4x4

Montana rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Rates data updated October 2026.

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

$14.45

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $14.45 for this service. The price depends on where it is billed: about $14.45 from a physician practice, and about $15.14 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$14.45$10.96 to $14.45
FacilityA hospital or hospital-owned outpatient department$15.14$14.13 to $794

How much rates vary

Facilitymedian $15 · 10th to 90th $11 to $813Professionalmedian $14 · 10th to 90th $6 to $79
$10$20$50$100$200$500$1Kfacility $15professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.80
Median
$11.75
Typical High
$18.62
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.88
Median
$14.45
Typical High
$14.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$11.75
Median
$14.45
Typical High
$14.45
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$10.72
Median
$17.78
Typical High
$831.76
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$15.49
Typical High
$851.14
Providence
Setting
Facility
Modifier
None
Typical Low
$8.32
Median
$14.45
Typical High
$14.45
Providence
Setting
Professional
Modifier
None
Typical Low
$10.96
Median
$14.45
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.89
Typical High
$9.77

Where Montana sits

The same service costs 2.1 times more in Idaho than in Delaware. 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.

Montana· 3rd of 51

$14.45

ID $14.79DE $7.08

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.