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

Montana rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Rates data updated July 2026.

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

$10.96

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $10.96 for this service. The price depends on where it is billed: about $10.96 from a physician practice, and about $12.30 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 6 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$10.96$5.89 to $12.30
FacilityA hospital or hospital-owned outpatient department$12.30$9.77 to $13.18

How much rates vary

Facilitymedian $12 · 10th to 90th $8 to $15Professionalmedian $11 · 10th to 90th $4 to $55
$5$10$20$50facility $12professional $11

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$10.00
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$13.18
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$13.18
Typical High
$13.18
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$23.99
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.30
Typical High
$23.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$10.00
Typical High
$15.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.18
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.90
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$5.37
Typical High
$7.24

Where Montana sits

The same service costs 2.1 times more in Wisconsin 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.

Montana· 8th of 51

$10.96

WI $12.88CO $6.17

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.